Journal of Family Planning and Reproductive Health Care 2003: 29(4) Abstract Objective. To determine risk factors affecting the incidence of intrauterine device (IUD) insertion-related complications and failures and, in particular, whether postcoital IUD insertions have a higher incidence of complications than routine IUD insertions. Design. Retrospective case notes analysis. Participants. The ...

OBJECTIVE To determine risk factors affecting the incidence of intrauterine device (IUD) insertion-related complications and failures and, in particular, whether postcoital IUD insertions have a higher incidence of complications than routine IUD insertions. DESIGN Retrospective case notes analysis. PARTICIPANTS The study examined 545 case notes of patients having IUD insertions at East Ches...

OBJECTIVES To compare the quality of clinical care in walk-in centres with that provided in general practice and by NHS Direct. DESIGN Observational study involving assessment of clinicians by standardised patients. SETTING 20 walk-in centres, 20 general practices, and 11 NHS Direct sites. PARTICIPANTS 297 consultations with standardised patients, 99 in each setting, carried out by profes...

Haemoptysis is rarely reported following coitus, and cardiac decompensation has been mostly implicated in the aetiology. We present a 53-year-old Nigerian, known hypertensive diabetic woman with background ischaemic heart disease who presented with postcoital haemoptysis of one-year duration. Echocardiography revealed combined ischaemic and mitral valvular heart disease, probably of rheumatic a...

Herein is a case of a 23-year-old man with recurrence of a seminal vesicle cyst after percutaneous drainage and laparoscopic excision complicated by hemorrhage requiring embolization. He presented to the emergency department for pain after ejaculation. Computed tomographic scan of his pelvis revealed extravasation of contrast near his cyst and pelvic fluid collection suspicious for a hematoma. ...

Each year in the United States, 3.5 million women unintentionally become pregnant.3 Moreover, approximately 1.5 million abortions are performed annually,4 making the United States' abortion rate one of the highest among Western countries.' Meanwhile, the number of women and children living below the poverty level continues to increase. 6 These facts indicate that women urgently need additional ...