Contraception again with IUD after IUD dislocation and IUD +
pregnancy
(evaluation of 6412 cases)
K. Ertopcu, M.M. Inal, Z. Ozenc, A. Donmez, G. Yildirimkaya, I.
Ozelmas, S. Tinar
Aegean Obst&Gyn Teaching and Research Hospital, Family
Planning Department, Izmir, Turkey
Objective To evaluate the comparison of the cases whose
intrauterine devices were replaced after the expiry date with the cases whose
IUDs were replaced with the new ones after the early extraction of IUDs because
of IUD dislocation and IUD + pregnancy.
Methods A total of 6412 cases whose IUDs were removed in
between 1 January 1998 and 31 December 2004 in our Family Planning Department
were classified into three groups according to the removal reasons; Dislocation
group with 1092 cases, IUD + pregnancy group with 231 cases and IUD expiry date
with 5089 cases. IUDs of all cases who decided to continue their contraception
with IUDs again were replaced with the new ones (1390 cases) and these cases
were enrolled into the study. CuT380 A IUDs as before were applied to all of
these cases again. Observed IUD dislocation and IUD + pregnancy rates of all new
IUD applied cases throughout one year were compared, and demographic
characteristics of all three groups were compared.
Results IUDs were applied immediately to 235 cases
(21.5%) out of 1092 cases admitted because of IUD dislocation. Throughout one
year follow-up, IUD dislocation was observed in 16 cases again (6.8%) and IUD +
pregnancy
in 4 of the cases (1.7%). IUDs were applied to 104 (45%) of 231 cases during MR
(menstrual Regulation) admitted because of IUD + pregnancy. Throughout one year
follow-up, IUD dislocation was observed in 5 cases again (4.8%), no cases with
IUD + pregnancy was observed. IUDs were applied to 1051 (20.6%) of 5089 cases
again, admitted again because of the expiry date. Throughout one year follow-up,
IUD dislocation was observed in only 3 of these cases (0.29%) and IUD +
pregnancy
in only one case (0.09%). Evaluation of the demographic characteristics revealed
a statistically significant prominence in number of previous abortions in
dislocation group (77.7%). It was also observed that the mean age of IUD +
pregnancy
cases were higher than that of other groups (51.9%) which was in between 31-40
years.
Conclusion Increase in rates of re-dislocation and IUD +
pregnancy
throughout one year in cases whose IUDs were exchanged due to dislocation was
significant. And high number of previous abortions in this group was important.