Aim of study: To evaluate the effectiveness of using uterine artery color Doppler and location of intrauterine copper device by three dimensional transvaginal ultrasound in relation to abnormal vaginal bleeding and pain. Methods: Three dimensional transvaginal ultrasound examinations were carried out to 180 women 3-6 months after IUD insertion. Seventy six women were suffering from pain (groupI...

The relationship between use of an intrauterine device (IUD) and pelvic inflammatory disease (PID) has been studied extensively over the past 50 years. Previous research has led to considerable controversy and debate. Numerous limitations in the studies make it difficult to draw any firm conclusions from the past research or to design new approaches to study the topic. The main research barrier...

CONTEXT Insertion of intrauterine devices (IUDs) is a routine procedure in Contraception & Sexual Health (C&SH) Service clinics. Techniques for IUD insertion vary between practitioners. OBJECTIVE To describe the preferred approach to various aspects of IUD provision of experienced doctors working in three large, teaching C&SH Services, including policies on screening for chlamydia, antibiotic...

OBJECTIVE To determine if the documentation for intrauterine device (IUD) insertions was satisfactory and to agree minimum standards for practice. METHOD A list was drawn up with minimum standards for documentation in the case notes. These were agreed at the clinical audit meeting. A retrospective analysis of case notes was done and a list completed for each IUD insertion. SETTING AND PARTI...

BACKGROUND In the female genital tract, up to 30% of Papanicolaou (Pap)-stained cervicovaginal smears of intrauterine device (IUD) users are positive for actinomyces-like organisms (ALOs). Many clinicians believe that no therapeutic intervention is necessary if women with ALOs are without symptoms. However, there are no recommendations for the procedure in ALO-positive women with need for a rou...

BACKGROUND We describe the rationale and protocol for a randomized noninferiority controlled trial (RCT) to determine if the Flexi-T380(+) copper intrauterine contraceptive device (IUD) is comparable in terms of effectiveness and expulsion rates to the most common Canadian IUD currently in use, NovaT-200, when placed immediately after a first-trimester abortion. METHODS/DESIGN Consenting wome...

©FSRH J Fam Plann Reprod Health Care 2009: 35(3) Case report A 33-year-old woman of non-UK origin who travelled frequently in her job presented complaining of chronic pelvic pain over the previous 4 years with intermittent exacerbations. The pain was situated mainly in the suprapubic region, was unrelated to her periods or to sexual intercourse and had not been relieved by routine analgesics. S...

Spontaneous perforation of the uterus is rare and only several cases have been reported in the English medical literature. Most of the patients had gynecological malignancy and almost all were associated with cervical occlusion. We report a case of diffuse peritonitis resulting from spontaneously perforated pyometra with an intrauterine device (IUD) inserted for more than two decades. This case...

An 86-year-old woman with diabetes mellitus and severe decubitus at the sacral and calcaneal regions stemming from poor daily activity was diagnosed with pyometra perforation caused by Actinomyces. No foreign materials, including an IUD, were found inside the uterus. Pyometra is usually caused by Enterobacteriaceae or anaerobes derived from the gastrointestinal tract. The virulence of Actinomyc...