Zipper, J., Medel, M., Osorio, A., Goldsmith, A. and Edelman, D. A. (Escuela de Medicina, Universidad de Chile, Santiago, Chile and International Fertility Research Program, Research Triangle Park, North Carolina, USA). Long-term use effectiveness of th, CU-720i0 1UD. Int JGynaecol Obstet 14: 142-144, 1976. Copper-containing IUDs have been demonstrated to be as good, if not better, than other p...

Intrauterine contraceptive devices (IUCDs) are a common form of reversible contraception owing to fewer systemic side effects and low cost, especially in a developing country like India. However, IUCDs are not without complications. Migration of a device into adjacent organs is the most morbid of all the documented complications. A patient who presents with a history that suggests loss or disap...

We recently encountered 5 patients with new-onset acne after the placement of a levonorgestrel-releasing intrauterine system (LNG-IUS). The women ranged in age from 31 to 36 years and all developed inflammatory papules localized to the jawline and/or back 1 to 3 months after insertion of an LNG-IUS. None of the patients were aware that acne could be a side effect of the device. Therapy was init...

OBJECTIVE This study was designed to evaluate the potential usefulness of the levonorgestrel-releasing intrauterine device (LNG - IUD ; Mirena) in treating women with uterine myomas. DESIGN Prospective before-and-after (comparing) study. SETTING Department of Obstetrics and Gynecology King Chulalongkorn Memorial Hospital. SUBJECTS Sixteen women with uterine myomas who intended to receive ...

Clinical scenario Mrs X attends the clinic for removal of her intrauterine device (IUD). She explains that she had it inserted as emergency contraception and now wants it removed with this period. While on the couch, she confides that her general practitioner (GP), a close friend, had fitted the IUD in his own home to avoid anyone in the village knowing about her need. She had been away to a co...

Sonographic appearances of Chinese intrauterine devices Cheung VY J Ultrasound Med 2010; 29: 1093–11 This is a fascinating paper from Hong Kong explaining and illustrating the sonographic appearances of different types of IUD commonly used in China. It is worth familiarising yourself with these images in case the need arises to assess a woman with a Chinese IUD or who presents with a complicati...

I am pleased to note on reading Dr Duncan’s letter in the January 2013 issue of the Journal that I am not the only person who waits a full 3 minutes after using local anaesthetic gel prior to fitting an intrauterine device/system. I totally agree that this makes a difference to the pain experienced by women. I have been fitting ‘coils’ for almost 30 years and when I started was totally reliant ...

Preliminary acceptability and reliability tests of the Dalkon Shield were done in 377 women over 17 months, amounting to 3,028 months of use. There was a 98% follow-up. The pregnancy rate of 4.7 and expulsion rate of 6.3 do not meet the claims described in initial trials by the developers of the device. Nevertheless, the Dalkon Shield seems to be an advance in intrauterine contraception since i...

BACKGROUND The aim of this study was to evaluate the chronic systemic and local toxicity of a copper intrauterine device in a rat model. MATERIAL AND METHODS Cu-IUD fragments were inserted into the uterine horns of female Wistar rats for 26 weeks (equivalent 15.42-17.33 years in humans). We tested copper at 20, 40, and 60 times the clinical dosages to study copper toxicity under severe conditio...

OBJECTIVE To compare neuromotor development between patients who did and those who did not undergo intrauterine myelomeningocele repair. METHODS Children with myelomeningocele aged between 3.5 and 6 years who did undergo intrauterine repair (Group A, n=6) or not (Group B; n=7) were assessed for neuromotor development at both anatomical and functional levels, need for orthoses, and cognitive f...