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Intrauterine contraception

Priya Sharma, Kamnoosh Shahabi, Rachel Spitzer, Michele Farrugia, Rupert Kaul, Mark Yudin
In a prospective study of twenty sexually transmitted infection (STI)-free women, we examined the impact of an intrauterine contraceptive device (IUCD) insertion on cervico-vaginal cytokine levels. Nine women chose the levonorgestrel-containing IUCD and eight chose a copper IUCD. A cervico-vaginal swab was collected for cytokine analysis pre-insertion and four weeks post-insertion. Significant increases were noted in levels of IL-1α (median 483.4 versus 316.6 pg/mL, p = 0.046), IL-1β (median 605.7 versus 147...
2018: PloS One
Sarah Asad, Courtney Hebert, Rebecca Andridge, Nghia Nguyen, Maria F Gallo
OBJECTIVES: To calculate the prevalence and identify correlates of unmet need for contraception and to assess whether prevalence of use of effective contraception and long-acting reversible contraception (LARC) has changed over time among married or cohabiting, reproductive-age women in Vietnam. METHODS: Study population was drawn from nationally-representative Multiple Indicator Cluster Surveys conducted in 2000, 2006, 2011, and 2014. Unmet need for contraception was defined as occurring when a fecund, married or cohabiting woman is not using any method of contraception but either does not want children or wants to delay birth for at least one year or until marriage...
November 29, 2018: Contraception
Audrey J Gaskins, Stacey A Missmer, Janet W Rich-Edwards, Paige L Williams, Irene Souter, Jorge E Chavarro
OBJECTIVE: To evaluate the relationship between demographic, lifestyle, and reproductive factors and the risk of ectopic pregnancy (EP). DESIGN: Prospective cohort. SETTING: United States. PATIENT(S): Nurses' Health Study II cohort comprising 41,440 pregnancies from 22,356 women. INTERVENTION(S): Demographic, lifestyle, and reproductive factors self-reported in 1989 then updated every 2 years...
December 2018: Fertility and Sterility
A Agostini, C Godard, C Laurendeau, A Benmahmoud Zoubir, A Lafuma, L Lévy-Bachelot, J Gourmelen, T Linet
OBJECTIVE: The aim of this study was to evaluate the continuation rates of reimbursed contraceptive methods in French real-world conditions. METHODS: A retrospective cohort study using a representative sample of the national health insurance database, the General Sample of Beneficiaries (Echantillon Généralistes des Bénéficiaires [EGB]), was performed between 2006 and 2012. Selected women were ≥15 years of age and had started a reimbursed contraceptive method between 2009 and 2012 without prior reimbursement for an implant or an intrauterine contraceptive method between 2006 and 2008...
November 30, 2018: European Journal of Contraception & Reproductive Health Care
Kiran Nawaz Khan, Ramesh Saxena, Michael Choti, Venkatesh Kumar Ariyamuthu
Peritonitis is a major complication in peritoneal dialysis (PD) patients, often requiring a switch to hemodialysis (HD). Common sources of bacterial peritonitis are touch contamination and PD catheter-related infection. Intra-abdominal pathology is a less common cause of peritonitis in PD patients, and rarely is Neisseria mucosa the causative organism.We present an uncommon case of N. mucosa peritonitis in a 30-year-old African American female patient treated with nocturnal intermittent PD. The infection occurred in the setting of a translocated intrauterine contraceptive device (IUCD) in the infrahepatic region because of transmural migration...
November 2018: Advances in Peritoneal Dialysis
Aya Homei
While the majority of East Asian countries embraced the modern intrauterine device (IUD) during the 1960s, the sale and distribution of the IUD in Japan was not authorized until 1974. In this paper, I address why the Japanese Government took so long to permit the use of the IUD. Firstly, I examine scientific debates in Japan during the early 1950s on the efficacy of the IUD and associated health risks, to illustrate how the Government's conservative attitude was fostered by a co-constitutive relationship between health officials and leading obstetrician-gynaecologists who believed that the IUD was dangerous and likely to induce abortion...
August 2018: Reproductive Biomedicine & Society Online
Daniel Shitu Getahun, Haileab Fekadu Wolde, Kindie Fentahun Muchie, Hedija Yenus Yeshita
OBJECTIVE: This study is aimed at determining the prevalence and factors associated with utilization of long acting and permanent methods among married reproductive age (15-49) females at Janamora district, in 2018. RESULT: Prevalence of long acting and permanent contraceptive method utilization was 12.9% (95% confidence interval (CI) 10%, 15%).Of those utilizers, 96.8% use implants, 2.1% use female sterilization and 1.1% use Intrauterine Contraceptive Device. Women's occupation, student as compared to housewife (Adjusted odds ratio (AOR) = 3...
November 26, 2018: BMC Research Notes
Anne Dougherty, Alex Kayongo, Samantha Deans, John Mundaka, Faith Nassali, James Sewanyana, Eric Migadde, Ronald Kiyemba, Estherloy Katali, Sarah Jane Holcombe, Sarah H Heil, Robert Kalyesubula
BACKGROUND: Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Researchers have conducted a number of qualitative studies in recent years to examine different aspects of family planning among Ugandan men. The present study aimed to quantify men's knowledge of family planning in rural Uganda to understand how better to involve men in couples' contraceptive decision-making, particularly in low-resource settings...
November 26, 2018: BMC Public Health
Marta Agenjo González, Belén Lampaya Nasarre, Fernando Salazar, David Varillas, Ignacio Cristobal
INTRODUCTION: An important inverse relation between IUD use and risk of cervical cancer has been proved. Women who used IUD had half the risk of developing cervical cancer. The mechanism how IUD is a protector factor is still unknown. Could be improving the clearance of HPV infection or stopping progression to cancer from preneoplasic lesion. The aim of the study is to check if IUD increases HPV clearance, that is, checking if after 1 year HPV infection disappears in more patients using IUD than those not using it...
November 16, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Alhambra Frarey, Elizabeth P Gurney, Stephanie Sober, Paul G Whittaker, Courtney A Schreiber
PURPOSE: Rapid repeat pregnancy is common among adolescent mothers and is associated with increased risks of adverse perinatal and maternal outcomes. Increasing contraceptive uptake among postpartum adolescents may decrease these outcomes through pregnancy prevention. This randomized controlled trial of 100 postpartum adolescent women assessed the effect of a standardized immediate postpartum contraceptive counseling intervention emphasizing healthy birth spacing and the use of long-acting reversible contraceptives (LARC)...
November 23, 2018: Archives of Gynecology and Obstetrics
J Bitzer, A Rapkin, C N Soares
INTRODUCTION: Lack of awareness of reproductive hormone-related mood changes in the general population or limited acknowledgement of their existence by health care providers regularly contribute to fears or misconceptions about the link between hormonal contraception and potential mood changes. Recent media discussion linked the levonorgestrel intrauterine system (LNG-IUS 20 µg/d) to elevated cortisol levels and the possibility of panic attacks, anxiety, mood changes, sleep disturbance and restlessness...
November 23, 2018: European Journal of Contraception & Reproductive Health Care
Khalida Itriyeva
The intrauterine devices (IUDs) and the subdermal implant, collectively known as long-acting reversible contraceptives (LARC), along with the Depo-Provera shot, represent highly efficacious methods of birth control for all reproductive-age women, including adolescents. They are also safe, private, and convenient, and can be used for their noncontraceptive benefits. Additionally, LARC and Depo-Provera represent methods of contraception that do not contain estrogen and may be safely used in young women who have contraindications to estrogen-containing medications...
November 19, 2018: Current Problems in Pediatric and Adolescent Health Care
Rebekah J McCurdy, Xuezhi Jiang, Peter F Schnatz
OBJECTIVE: To explore (1) long-acting reversible contraception (LARC) use and (2) future contraceptive preferences in Sub-Saharan African adolescents as undesired pregnancies in Sub-Saharan African adolescents are associated with significant maternal/neonatal morbidity. METHODS: Nationally-representative Demographic and Health Surveys (USAID) obtained informed consent and interviewed 45,054 adolescents, including 19,561 (43.4% of total) sexually active adolescents (aged 15-19) from 18 least developed Sub-Saharan African nations regarding contraception (years 2005-2011, response rate 89...
November 22, 2018: European Journal of Contraception & Reproductive Health Care
Choi Wah Kong, William Wing Kee To
BACKGROUND: The use of intrauterine balloon tamponade to manage postpartum hemorrhage is increasing. However, there is lack of studies on the menstrual and reproductive outcomes after such treatment. The purpose of this study is to explore the menstrual and reproductive outcomes for patients who had been managed by intrauterine balloon tamponade for severe postpartum hemorrhage in her index pregnancy. METHODS: All patients who had delivered in United Christian Hospital from January 2011 to June 2016 with severe postpartum hemorrhage (PPH) (blood loss> = 1 L) were identified by the labour ward delivery registry and a comprehensive obstetric database...
November 21, 2018: BMC Pregnancy and Childbirth
Wiebke Neumann, Tanja Uhrig, Matthias Malzacher, Verena Kossmann, Lothar R Schad, Frank G Zoellner
OBJECTIVES: To assess the risks for implant users with copper-containing intrauterine devices (IUDs) during MR and CT examinations. METHODS: A tissue-mimicking phantom suitable for all experiments within this study was developed. Seven different types of copper IUDs were evaluated. Heating and dislocation of each IUD were investigated at two clinically relevant positions in 1.5 T and 3 T MR scanners. Artifacts in the field of view caused by each tested IUD were determined for clinical MR and CT imaging...
November 19, 2018: European Radiology
Erin Wilson, David G Hewett, Brian C Jolly, Sarah Janssens, Michael M Beckmann
Introduction: There is no standard approach to determining the realism of a simulator, valuable information when planning simulation training. The aim of this research was to design a generic simulator realism questionnaire and investigate the contributions of different elements of simulator design to a user's impression of simulator realism and performance. Methods: A questionnaire was designed with procedure-specific and non-procedure-specific (global) questions, grouped in subscales related to simulator structure and function...
2018: Advances in simulation
Emily C Holden, Erica Lai, Sara S Morelli, Donald Alderson, Jay Schulkin, Neko M Castleberry, Peter G McGovern
Background: Postpartum women are at risk for unintended pregnancy. Access to immediate long-acting reversible contraception (LARC) may help decrease this risk, but it is unclear how many providers in the United States routinely offer this to their patients and what obstacles they face. Our primary objective was to determine the proportion of United States obstetric providers that offer immediate postpartum LARC to their obstetric patients. Methods: We surveyed practicing Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists (ACOG) about their use of immediate postpartum LARC...
2018: Contraception and reproductive medicine
Shekhar Thapa, Ganesh Dangal, Aruna Karki, Hema Kumari Pradhan, Ranjana Shrestha, Kabin Bhattachan, Shreesiya Pokharel, Rekha Paudel, Nishma Bajracharya
An intrauterine contraceptive device (IUD) is a long acting, highly effective, economic and reversible method of contraception used worldwide. The most used devices are copper IUD (Copper-T) or Progesterone IUD. Common complications include failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, expulsion and rarely uterine embedment and perforation. In this case series we will discuss three cases of missing Copper-T. In one case Copper T was inserted at our hospital and in the other cases it was inserted in the periphery and all the cases was managed surgically with different modality...
October 30, 2018: Journal of Nepal Health Research Council
David Kuzel, Michal Mara, Zdenek Zizka, Peter Koliba, Pavel Dundr, Michael Fanta
The levonorgestrel-releasing intrauterine system (LNG-IUS) is widely used and recommended as a reliable contraceptive. It also acts by opposing the effects of estrogen on the endometrium, thereby preventing development of endometrial hyperplasia and its possible malignant transformation. This case describes a 52-year-old multiparous amenorrhoeic patient who was seen in the gynecology outpatient department for a routine control 46 months after the insertion LNG-IUS as contraception. Hysteroscopy with a target biopsy following suspicious ultrasound scan confirmed well-differentiated endometrioid adenocarcinoma...
November 19, 2018: Gynecological Endocrinology
F Vidal, L Paret, T Linet, Y Tanguy le Gac, P Guerby
OBJECTIVE: To provide national clinical guidelines focusing on intrauterine contraception. METHODS: A systematic review of available literature was performed using Pubmed and Cochrane libraries. American, British and Canadian guidelines were considered as well. RESULTS: Intrauterine contraception (IUC) displays a wide panel of indications, including adolescents, nulliparous, patients living with HIV before AIDS (Grade B) and women with history of ectopic pregnancy (Grade C)...
November 11, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
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