Do retroverted uteri adversely affect insertions and performance of IUDs?

Abstract:

:A large international multi-center IUD data set (N = 5520) coordinated by Family Health International was analysed to determine if the uterine position of a woman (anteverted, mid-positioned or retroverted) affects the ease of IUD insertion and if knowledge of uterine position would diminish insertion-related problems and improve IUD performance. Findings showed that insertion-related events were rare irrespective of uterine position. Women with retroverted uteri were not associated with higher termination rates for accidental pregnancy, expulsion or removal for bleeding and/or pain after 12 months of IUD use, as compared to the other two uterine position groups. All insertions in this data set were performed by experienced obstetricians/gynecologists, and our findings suggest that women with retroverted uteri should be equally good candidates for IUD contraception.

journal_name

Contraception

journal_title

Contraception

authors

Chi IC,Farr G,Dominik R,Robinson N

doi

10.1016/0010-7824(90)90059-5

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

495-506

issue

5

eissn

0010-7824

issn

1879-0518

pii

0010-7824(90)90059-5

journal_volume

41

pub_type

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