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.
Prospective observational study among nulliparous women requesting intrauterine contraception.
Study Type
OBSERVATIONAL
Enrollment
161
Evaluation of uterine size and posture with ultrasound, IUD insertion, one year follow-up.
Contraceptive unit of city of Helsinki
Helsinki, Finland
The effect of uterine size or posture on IUD insertion.
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).
Time frame: Day 1
Satisfaction and continuation rate with intrauterine contraception.
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.
Time frame: 3 months
Satisfaction and continuation rate with intrauterine contraception.
A second clinical evaluation including gynecological examination is at 12 months after insertion. Patterns of bleeding and severeness of pain are followed daily for the last 90 days of the first year of use of intrauterine contraception.
Time frame: 12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.