IUD
Conditions
Keywords
IUD Removal
Brief summary
This is a pilot study designed to test the effectiveness of several techniques for intrauterine device (IUD) self-removal and to understand patient preferences regarding IUD self-removal and indicators of success as well as understanding the impacts of IUD self-removal on other clinical care.
Detailed description
The Investigators propose to test a novel method for self-removal of IUDs in an effort to increase the proportion of patients who are able to successfully and safely remove their IUD when desired. Participants will attempt self-removal in office, where a provider will be able to remove the IUD if unsuccessful. Participants will be instructed on current and novel techniques and the investigators will examine indicators of success as well as patient and provider preferences.
Interventions
The provider will offer any individual presenting for in-person IUD removal or exchange (removal-replacement) the option for self-removal. The participant will be provided a 'how to' instruction sheet with information on positioning and what to expect. The participant will first attempt removal with clean hands if desired, then utilizing non-sterile, clean gloves (not explicitly tested in prior studies) and if that fails, the use of a menstrual cup (a novel technique). If not successful, the provider will perform standard IUD removal in the clinic.
Sponsors
Study design
Eligibility
Inclusion criteria
* Presenting at clinic for IUD removal or exchange * Willing and able to give consent with literacy in English or Spanish
Exclusion criteria
* Participants who are referred for a complicated IUD removal such as a stingless IUD, prior failed IUD removal attempt, or an IUD failure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of IUD Self-Removal Techniques | Immediately after IUD Removal | Proportion of participants who successfully remove their IUDs |
Countries
United States
Contacts
Oregon Health and Science University