Association Between Clinical, Laboratory, Ultrasongraphy Predictors And Development of Copper IUD Complications

Launched by CAIRO UNIVERSITY · Nov 24, 2019

Keywords

ClinConnect Summary

Only clinicians with proven proficiency in IUD insertion will be allowed to perform insertions . The steps of the IUD insertion procedure will be explained to the woman.

Perform a bimanual examination to determine the size, shape, and position of the uterus.

Insert a warm, moistened speculum. Cleanse the cervix with an antiseptic solution using 3 scoppettes or more (one for each sweep of the cervix).

Open the sterile insertion instruments without touching the inside of the packet and place within easy reach.

Remove the tenaculum by its handle and grasp the anterior or posterior lip of t...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Multiparous women from 20 - 40 years of age , seeking contraception and choosing IUD as their preferred method after proper and thorough counseling.
• • 2. Regularly menstruating women ( menstural cycle varying between 24- 38 days).
• • 3. Contraceptive pills or any type of hormonal medication had not been taken for at least 3 months prior to the study, and any IUD had necessarily been removed at least 3 months earlier.
• Exclusion Criteria:
• • • Pregnancy or suspicion of pregnancy
• • Congenital or acquired uterine anomalies which distort the uterine cavity (fibroids, endometrial polyps, cervical stenosis, bicornuate uterus, small uterus \< 6 cm)
• • Acute PID or a history of PID within the past 3 months
• • Postpartum or post-abortion endometritis within the past 3 months
• • Current STI or within the past 3 months (including cervicitis)
• • Cervical cancer
• • Endometrial cancer
• • Malignant gestational trophoblastic disease
• • Undiagnosed vaginal bleeding
• • Hypersensitivity to any component in the IUD (copper, progesterone)
• • Less than 4 weeks postpartum.