Tuboovarian abscess associated with an intrauterine device: report on three cases

Tuboovarian abscess associated with an intrauterine device: report on

three cases

A. Pretnar-Darovec, B. Pinter

Gynaecological Clinic, Ljubljana, Slovenia

Objective: As a CCR WHO we have conducted many multicentre studies. In

most IUD studies we have find this contraceptive favourable for multiparas .

However. We claim IUD so harmful, that the opinion was established on

its longevity. We left Cupper IUD in place for yearsby menopause. Perhaps this

policy should be changed, as at our clinic we have been admitting long term IUD

users with severe pelvic inflammatory disease (often ending in hysterectomy) for

years, approximately one case per month.

Design: We present three – in our opinion – typical cases which

were admitted to the Hospital in the same month. Similarities between them was

in the length of IUD usage, their age and severity of infection. As conservative

treatment was ineffective the women had to undergo hysterectomy,.

Results: All three women showed the same information as we found in

other similar cases: they were in late 40th years of age, and had IUD in place

for more than 5 years. We can not prove changing of partners or STD, not even so

often reported actynomyces infection.

Conclusions: We still find IUD very suitable contraception for many

women. However, we should bear in mind that every IUD has a lifespan, and should

be removed according to the manufacterer’s recommendations for each type

separately. In literature numerous cases have been reported on with a history,

similar to that found in our reported cases: pelvic abscesses at aged women with

long IUD use. What is the thruth reason for such serious complication we can

only speculate. Is this STD or impairment of immunity or IUD as reservoir for

bacteria? But nevertheless: for older women we had to find better solution for

contraceptive method, which will not put them in such hazard.

Scroll to Top