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https://www.readbyqxmd.com/read/29673740/recent-intrauterine-device-use-and-the-risk-of-precancerous-cervical-lesions-and-cervical-cancer
#1
Sarah Averbach, Michael J Silverberg, Wendy Leyden, Karen Smith-McCune, Tina Raine-Bennett, George F Sawaya
OBJECTIVE: Understanding the effect of contraceptives on the development of precancerous lesions of the cervix and cervical cancer may provide information that is valuable to women in contraceptive decision-making. The purpose of this study was to evaluate the association between recent intrauterine device (IUD) use (by type) and cervical intraepithelial neoplasia 2, 3, adenocarcinoma in situ or cancer (CIN2+ or CIN3+). STUDY DESIGN: Case-control study of 17,559 women age 18-49 with incident CIN2+ cases and 5:1 age-matched, incidence-density selected controls (N=87,378) who were members of Kaiser Permanente Northern California Healthcare System from 1996-2014...
April 16, 2018: Contraception
https://www.readbyqxmd.com/read/29673301/violence-against-women-and-its-consequences-on-women-s-reproductive-health-and-depression-a-jordanian-sample
#2
Jalal K Damra, Sanaa Abujilban
The aims of this study were to investigate the women's current reproductive health (RH) status, depression levels, and to clarify the relationships between the violence against women and depression and the RH components. Three hundred women participated in the study. Data were collected from the Women Health Center (WHC) in Prince Faisal hospital in Rusaifa, Jordan. The findings revealed that around 25.9%, 13.1%, 83.2%, and 65.1% of the participant women had been exposed to physical, sexual, control, and psychological violence, respectively...
April 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29671344/subclinical-cardiovascular-disease-parameters-after-one-year-in-new-users-of-depot-medroxyprogesterone-acetate-compared-to-copper-iud
#3
Kleber Cursino, Gabriel Araújo de Lima, Priscilla de Nazaré Silva Dos Santos, Elizabeth João Pavin, Luis Bahamondes, Arlete Fernandes
PURPOSE: To evaluate markers of cardiovascular disease in women with normal insulin sensitivity who had recently initiated use of depot medroxyprogesterone acetate (DMPA) as a contraceptive. MATERIALS AND METHODS: A prospective, non-randomised, comparative study. Data of 30 women of 18-40 years of age, with normal hyperinsulinaemic-euglycaemic clamp at baseline and body mass index (BMI) < 30, who opted to use DMPA or a copper intrauterine device (IUD) as a contraceptive, were analysed...
April 19, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29665358/hyperinsulinemic-euglycemic-clamp-over-the-first-year-of-use-of-depot-medroxyprogesterone-acetate-as-a-contraceptive
#4
Vaneska Melhado-Kimura, Gisele Almeida Batista, Aglécio Luiz de Souza, Priscilla de Nazaré Silva Dos Santos, Sarah Monte Alegre, Elizabeth João Pavin, Luis Bahamondes, Arlete Fernandes
OBJECTIVE: The literature lacks data on the use of the gold-standard hyperinsulinemic-euglycemic clamp (HEC) technique for the evaluation of insulin resistance (IR) in depot-medroxyprogesterone acetate (DMPA) users. This study assessed carbohydrate metabolism in non-obese users of DMPA using the HEC technique. STUDY DESIGN: A prospective, non-randomized, comparative study conducted at the Family Planning Clinic/Metabolic Unit, University of Campinas, Brazil. Forty-eight women aged 18-39 years underwent HEC: 30 initiating use of DMPA and 18 initiating use of a copper intrauterine device (IUD)...
April 14, 2018: Contraception
https://www.readbyqxmd.com/read/29661696/use-of-highly-effective-reversible-contraception-in-title-x-clinics-variation-by-selected-state-characteristics
#5
Nathan Hale, Amal Khoury, Michael Smith
BACKGROUND: The use of long-acting reversible contraceptive (LARC) methods, such as intrauterine devices (IUDs) and implants has demonstrated high effectiveness in preventing pregnancy. While LARC use in Title X programs has increased over the past decade, little is know about the extent to which gains are occurring uniformly across states. METHODS: We examined state-level changes in LARC use among Title X clients between 2012 and 2016 using a repeated cross-sectional study design...
April 13, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29660297/structured-integration-of-family-planning-curriculum-comparative-assessment-of-knowledge-and-skills-among-new-medical-graduates-in-ethiopia
#6
Berhanu G Gebremeskel, Alula M Teklu, Lia T Gebremedhin, Solomon W Beza, Tegbar Yigzaw, Munir K Eshetu, Mengistu H Damtew, Yolanda R Smith
OBJECTIVE: To assess if structured integration of a comprehensive family planning (FP) training into a medical school curriculum improves FP knowledge and skill scores of medical interns. STUDY DESIGN: We compared mean contraception knowledge scores of interns in a medical school with the integrated FP curriculum [intervention school] (n=56) to interns at four conventional medical curriculum schools without structured reinforcement of FP content [control schools] (n=161) in Ethiopia...
April 13, 2018: Contraception
https://www.readbyqxmd.com/read/29649137/a-phenotype-classification-of-internet-use-disorder-in-a-large-scale-high-school-study
#7
Katajun Lindenberg, Katharina Halasy, Carolin Szász-Janocha, Lutz Wartberg
Internet Use Disorder (IUD) affects numerous adolescents worldwide, and (Internet) Gaming Disorder, a specific subtype of IUD, has recently been included in DSM-5 and ICD-11. Epidemiological studies have identified prevalence rates up to 5.7% among adolescents in Germany. However, little is known about the risk development during adolescence and its association to education. The aim of this study was to: (a) identify a clinically relevant latent profile in a large-scale high-school sample; (b) estimate prevalence rates of IUD for distinct age groups and (c) investigate associations to gender and education...
April 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29630013/intrauterine-device-insertion-before-and-after-mandated-health-care-coverage-the-importance-of-baseline-costs
#8
Erica Heisel, Giselle E Kolenic, Michelle M Moniz, Emily K Kobernik, Leah Minadeo, Neil S Kamdar, Vanessa K Dalton
OBJECTIVE: To evaluate changes in out-of-pocket cost for intrauterine device (IUD) placement before and after mandated coverage of contraceptive services and to examine how changes in out-of-pocket cost influence IUD insertion as a function of baseline cost. METHODS: We conducted a cross-sectional pre-post analysis at the plan level using a large deidentified medical claims database to analyze our primary outcome, new IUD insertions among women enrolled in employer-sponsored health plans in 2009 and 2014, and our secondary outcome, out-of-pocket cost...
April 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29627410/-intrauterine-device-and-pelvic-inflammatory-disease-myth-or-reality
#9
T Straub, M Reynaud, M Yaron
INTRODUCTION: Intrauterine device (IUD) is a reliable contraceptive method that is long term reversible, and well tolerated. Numerous studies prove its efficiency and report rare complications that are attributed to it. However, its use is limited due to fear that it can cause a pelvic inflammatory disease (PID). This is based on historical data on infections related to the "Dalkon Shield", which was removed from the market in 1974. METHOD: The analyzed articles were extracted from PUBMED database between 2000 and 2016...
April 4, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29616559/urinary-bladder-stone-passing-using-a-persian-herbal-recipe
#10
Ayda Hosseinkhani, Fatemeh Tabatabaei, Maryam Mosaffa-Jahromi, Mehdi Pasalar
OBJECTIVE: The intrauterine device (IUD) is a popular contraceptive instrument with reported complications. IUD migration to the urinary bladder, a rare genitourinary tricky situation, may cause stone formation and result in urinary system sequels such as a stone formation and a recurrent infection. CASE REPORT: This is a case report of IUD migration to the urinary bladder, mineralization, and subsequent complications. We report the case of a 35-year-old woman with a copper IUD nidus stone in her urinary bladder...
January 2018: Journal of evidence-based integrative medicine
https://www.readbyqxmd.com/read/29616492/contraceptive-strategies-in-women-with-heart-failure-or-with-cardiac-transplantation
#11
REVIEW
Anjli Maroo, Johnny Chahine
PURPOSE OF REVIEW: We describe contraception for two groups of women: (1) women with heart failure and (2) women with cardiac transplantation. RECENT FINDINGS: Medical Eligibility Criteria for contraceptive agents address women with peripartum cardiomyopathy and women with valvular heart disease (Curtis et al. MMWR Recomm Rep 65:1-103, 2016). Recommendations for women with other forms of heart failure are extrapolated from these populations. Recommendations for women with cardiac transplantation have shifted since the 1980s: use of long-acting reversible contraception has increased, and there is a better understanding of the interactions between contraceptive and immunosuppressive regimens...
April 3, 2018: Current Heart Failure Reports
https://www.readbyqxmd.com/read/29610676/pregnant-or-recently-pregnant-opioid-users-contraception-decisions-perceptions-and-preferences
#12
Rebecca L Fischbein, Bethany G Lanese, Lynn Falletta, Kelsey Hamilton, Jennifer A King, Deric R Kenne
Background: Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon...
2018: Contraception and reproductive medicine
https://www.readbyqxmd.com/read/29603597/health-care-provider-perceptions-of-the-safety-of-iuds-for-women-with-hiv
#13
Katharine B Simmons, Lauren Zapata, Kathryn M Curtis
CONTEXT: Women who are living with HIV use IUDs at a lower rate than the general population, and it is unclear whether health care providers' misconceptions about IUD safety contribute to this disparity. METHODS: A 2013-2014 nationwide survey of 1,998 U.S. family planning providers assessed perceptions of IUD safety for women with HIV or other medical conditions. Multivariable logistic regression was used to examine associations between provider characteristics and whether individuals believed IUDs were safe for HIV-positive women...
March 30, 2018: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29602870/using-program-data-to-improve-access-to-family-planning-and-enhance-the-method-mix-in-conflict-affected-areas-of-the-democratic-republic-of-the-congo
#14
Lara S Ho, Erin Wheeler
Unmet need for family planning in the conflict-affected area of eastern Democratic Republic of the Congo (DRC) has been reported to be as high as 38%, and women in such conflict settings are often the most at risk for maternal mortality. The International Rescue Committee implements the Family Planning and Post-Abortion Care in Emergencies program in 3 provinces of eastern DRC to provide women and couples access to family planning, including long-acting reversible contraceptives (LARCs). This article presents routine program data from June 2011 through December 2013 from 2 health zones as well as results from a qualitative assessment of family planning clients and of male and female non-users, conducted in 2013...
March 21, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29583023/a-viable-caesarean-scar-pregnancy-in-a-woman-using-a-levonorgestrel-releasing-intrauterine-device-a-case-report
#15
Emilie Hitzerd, Hein Bogers, Noush A Kianmanesh Rad, Johannes J Duvekot
BACKGROUND: Although the levonorgestrel-releasing intrauterine device (LNG-IUD) is one of the most reliable methods of contraception, it is associated with an increased risk of ectopic pregnancy in case of unintended pregnancy. A rare form of ectopic pregnancy is the caesarean scar pregnancy (CSP), with a high risk of serious maternal morbidity, such as uterine rupture, massive haemorrhage and resulting infertility. This report describes the first case of a viable CSP at 13 weeks of gestation in association with the use of a LNG-IUD...
March 27, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29577915/training-contraceptive-providers-to-offer-intrauterine-devices-and-implants-in-contraceptive-care-a-cluster-randomized-trial
#16
Kirsten M J Thompson, Corinne H Rocca, Lisa Stern, Johanna Morfesis, Suzan Goodman, Jody Steinauer, Cynthia C Harper
BACKGROUND: U.S. unintended pregnancy rates remain high, and contraceptive providers are not universally trained to offer IUDs and implants to women who wish to use these methods. OBJECTIVE: To measure the impact of a provider training intervention on integration of intrauterine devices (IUDs) and implants into contraceptive care. METHODS: We measured the impact of a continuing medical education-accredited provider training intervention on provider attitudes, knowledge, and practices in a cluster randomized trial in 40 U...
March 22, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29574095/changes-in-uptake-and-cost-of-long-acting-reversible-contraceptive-devices-following-the-introduction-of-a-new-low-cost-levonorgestrel-iud-in-utah-s-title-x-clinics-a-retrospective-review
#17
Lauryn P Roth, Jessica N Sanders, Rebecca G Simmons, Holly Bullock, Elizabeth Jacobson, David K Turok
OBJECTIVE: To assess changes in long-acting reversible contraceptive (LARC) method uptake at Utah's Title X clinics before and after introduction of a new, low-cost levonorgestrel (LNG) 52mg IUD (Liletta®). STUDY DESIGN: We conducted a retrospective medical record review of LARC visits occurring at seven Title-X family planning clinics in Utah before the introduction of the low-cost LNG IUD (pre-introduction period: 01/01/2014-04/30/2015) and after (post-introduction period: 05/01/2015-03/31/2016)...
March 21, 2018: Contraception
https://www.readbyqxmd.com/read/29570663/investigating-the-effect-of-personality-internet-literacy-and-use-expectancies-in-internet-use-disorder-a-comparative-study-between-china-and-germany
#18
Benjamin Stodt, Matthias Brand, Cornelia Sindermann, Elisa Wegmann, Mei Li, Min Zhou, Peng Sha, Christian Montag
Research on Internet-use Disorder (IUD) has increased rapidly, indicating its clinical and global importance. Past studies suggested cultural diversity regarding the prevalence of an IUD, e.g., between Asian and European countries. Additionally, it was found that personality factors, Internet-related cognitions and specific competences seem to influence IUD tendencies, but research lacks in cultural comparative studies regarding these mechanisms. This study focuses on differences between Germany and China regarding the above-mentioned characteristics...
March 23, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29550456/factors-associated-with-low-lying-intrauterine-devices-a-cross-sectional-ultrasound-study-in-a-cohort-of-african-american-women
#19
Malana Moshesh, Tina Saldana, Elizabeth Deans, Tracy Cooper, Donna Baird
OBJECTIVE: The object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound. STUDY DESIGN: This is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study. Low-lying IUDs were identified and localized. Logistic regression was used to identify factors and symptoms associated with low-lying IUDs...
March 14, 2018: Contraception
https://www.readbyqxmd.com/read/29550339/-management-of-endometriosis-cngof-has-practice-guidelines-short-version
#20
P Collinet, X Fritel, C Revel-Delhom, M Ballester, P A Bolze, B Borghese, N Bornsztein, J Boujenah, N Bourdel, T Brillac, N Chabbert-Buffet, C Chauffour, N Clary, J Cohen, C Decanter, A Denouël, G Dubernard, A Fauconnier, H Fernandez, T Gauthier, F Golfier, C Huchon, G Legendre, J Loriau, E Mathieu-d'Argent, B Merlot, J Niro, P Panel, P Paparel, C A Philip, S Ploteau, C Poncelet, B Rabischong, H Roman, C Rubod, P Santulli, M Sauvan, I Thomassin-Naggara, A Torre, J M Wattier, C Yazbeck, M Canis
First-line investigations to diagnose endometriosis are clinical examination and pelvic ultrasound. Second-line investigations include pelvic examination performed by a referent clinician, transvaginal ultrasound performed by a referent, and pelvic MRI. It is recommended to treat endometriosis when it is symptomatic. First-line hormonal treatments recommended for the management of painful endometriosis are combined hormonal contraceptives or levonorgestrel 52mg IUD. There is no evidence to recommend systematic preoperative hormonal therapy for the unique purpose of preventing the risk of surgical complications or facilitating surgery...
March 14, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
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