Intrauterine Contraception
Conditions
Keywords
nulliparous, IUD, IUS, insertion, expulsion
Brief summary
As intrauterine contraception is an increasingly popular form of contraception the objective of our study is to examine if uterine size or posture affects the insertion or use of intrauterine devices. Nulliparous women requesting either the levonorgestrel-releasing device (LNG-IUS) or a copper-IUD (NovaT) are recruited and followed for one year.
Detailed description
Prospective observational study among nulliparous women requesting intrauterine contraception.
Interventions
OTHEREvaluation of uterine size and posture with ultrasound, IUD insertion, one year follow-up.
Evaluation of uterine size and posture with ultrasound, IUD insertion, one year follow-up.
Sponsors
Helsinki University Central Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
\- nulliparous women with no previous history of IUD use
Exclusion criteria
* malformation of uterus * myomas * acute gynecological infection * malignant uterine or cervical tumor In addition if requesting a Cu-IUD * heavy menstruations * iron deficiency * bleeding disorder * copper allergy or Wilson's disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of uterine size or posture on IUD insertion. | Day 1 | The size of the uterine cavity (cm) and the flexion angle of the uterus are determined at insertion using ultrasonography. This is compared with assessment of perception of insertion pain both by the patient and the inserting doctor is evaluated as well as the easiness if insertion (by the doctor). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction and continuation rate with intrauterine contraception. | 3 months | Clinical evaluation including gynecological examination is at 3 months after insertion. Patterns of bleeding and severeness of pain are followed daily for the 90 first days after insertion. |
Countries
Finland
Outcome results
None listed