INTRODUCTION Intrauterine contraceptive devices may at times perforate and migrate to adjacent organs. Such uterine perforation usually passes unnoticed with development of potentially serious complications. CASE PRESENTATION A 25-year-old woman of North Indian origin presented with an acute tender lump in the right iliac fossa. The lump was initially thought to be an appendicular lump and tr...

Zipper, Medel & Prager (1969) reported a depressive effect on the implantation rate in the rabbit with intrauterine copper wires. They postulated that the effect of the copper IUD was local rather than systemic because only minute quantities of copper were necessary to produce the antifertility effect (Zipper, Tatum, Pastene, Medel & Rivera, 1969). The exact mechanism of the action of copper ha...

OBJECTIVES The copper intrauterine device (Cu-IUD) is the most effective method of emergency contraception (EC) and provides ongoing contraception, yet few women choose this option. This study evaluates the impact of an educational initiative involving pharmacists on uptake of Cu-IUDs for EC in an integrated sexual health clinic in the North East of England. METHODS Since November 2010, local...

The intrauterine contraceptive devices (IUD) are considered important in reducing unintended pregnancy rates [1]. IUDs are useful immediately following induced first-trimester abortion, resulting in significantly fewer repeat abortions [2]. In addition, copper IUDs are more effective than emergency contraceptive pills, providing long-term contraception, if well tolerated [3]. They are also the ...

OBJECTIVES To compare rates of unintended pregnancy, method continuation and reasons for removal among women using the 52-mg levonorgestrel (daily release 20 microg) levonorgestrel IUD (LNG-IUD) or the copper T 380A (TCu380A) intrauterine device. STUDY DESIGN This was an open-label 7-year randomized controlled trial in 20 centres, 11 of which in China. Data on 1884 women with interval inserti...

BACKGROUND The present study aimed to investigate risk factors for expulsion in immediate postplacental IUD insertion. We specifically sought to determine whether cesarean delivery before or during labor have an impact on IUD expulsion. METHODS The study included 160 pregnant women for immediate IUD insertion following vaginal or cesarean delivery. Three groups of patients were recruited: Pat...

BACKGROUND At present, women are recommended to avoid pregnancy 12-18 months after bariatric surgery. Our aim in this study was to describe patterns of contraceptive use before and after gastric bypass in Sweden, and to describe the contraceptive counseling given preoperatively to women undergoing gastric bypass. METHODS In October 2012, a questionnaire was sent to 1000 Swedish women who all ...

PURPOSE The objective of this open randomized study was to compare the clinical performance of Nova T380 and Gyne T380 Slimline copper intrauterine devices (IUDs). MATERIALS AND METHODS Eligible for analyses were 957 Norwegian parous women aged 18-45 years. Clinical performance was measured upon the removal of IUD due to contraceptive failure, expulsion, bleeding, pain, pelvic inflammatory di...

BACKGROUND Increased menstrual bleeding and pain are the primary side effects that lead to early removal of the copper intrauterine device (IUD). Ibuprofen and other non-steroidal anti-inflammatory drugs (NSAIDs) are proven treatments for such IUD-induced problems, but their effect on early IUD removal is unknown. METHODS A total of 2019 first-time IUD users were recruited in Chile for this d...

INTRODUCTION The study aimed to assess the level of awareness and knowledge of contraception among women in Singapore, and identify the factors that influence contraception choice. METHODS We conducted a cross-sectional survey of 259 female patients, aged 21-49 years, who attended the Obstetrics and Gynaecology Clinic at National University Hospital, Singapore. An original questionnaire on ni...