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https://www.readbyqxmd.com/read/27895447/intrauterine-device-migration-to-the-urinary-bladder-causing-sexual-dysfunction-a-case-report
#1
K Dimitropoulos, K Skriapas, G Karvounis, V Tzortzis
BACKGROUND: Intravesical migration represents an uncommon complication of intrauterine device (IUD) insertion. We present the case of an IUD that migrated to the urinary bladder, causing significant sexual complaints. CASE REPORT: A 38-year-old woman presented with complaints of gradually evolving dyspareunia and recurrent urinary tract infections during the past 12 months. She reported an IUD insertion 18 months before. Further detailed evaluation revealed disorders in all sexual domains...
January 2016: Hippokratia
https://www.readbyqxmd.com/read/27836586/intrauterine-contraception-after-medical-abortion-factors-affecting-success-of-early-insertion
#2
Elina Pohjoranta, Satu Suhonen, Maarit Mentula, Oskari Heikinheimo
OBJECTIVE: To assess the success and factors affecting early intrauterine device (IUD) provision after first trimester medical termination of pregnancy (MTOP). STUDY DESIGN: Subgroup analysis of a randomized contraceptive trial assessing the long-term effects of early provision of intrauterine contraception following abortion. Altogether, 606 women undergoing MTOP were included and followed for 3 months. The intervention group (n=307) was offered an IUD (either the levonorgestrel-releasing intrauterine system or copper-IUD) at a follow-up visit 1-4 weeks after MTOP...
November 9, 2016: Contraception
https://www.readbyqxmd.com/read/27824753/naproxen-sodium-for-pain-control-with-intrauterine-device-insertion-a-randomized-controlled-trial
#3
Lynn L Ngo, Kari P Braaten, Eva Eichen, Jennifer Fortin, Rie Maurer, Alisa B Goldberg
OBJECTIVE: To evaluate whether 550 mg oral naproxen sodium given 1 hour before intrauterine device (IUD) insertion is effective for pain relief as compared with placebo. METHODS: This was a randomized, double-blind, placebo-controlled trial. The primary outcome was pain with IUD insertion measured on a 100-mm visual analog scale (VAS). Our sample size was calculated to detect a 15-mm difference in VAS scores with 80% power (α=0.05). Secondary outcomes included pain with tenaculum placement, uterine sounding, and 5 and 15 minutes postinsertion...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27823944/effect-of-cervical-lidocaine-prilocaine-cream-on-pain-perception-during-copper-t380a-intrauterine-device-insertion-among-parous-women-a-randomized-double-blind-controlled-trial
#4
Ahmed M Abbas, Mohamed S Abdellah, Mohamed Khalaf, Mustafa Bahloul, Noura H Abdellah, Mohamed K Ali, Ahmed M Abdelmagied
OBJECTIVE: The objective was to investigate the analgesic effect of cervical lidocaine-prilocaine (LP) cream in alleviating pain during copper T380A intrauterine device (IUD) insertion among parous women. STUDY DESIGN: We conducted a randomized, double-blind, placebo-controlled trial at Assiut Women's Health Hospital, Egypt, from October 2015 to April 2016 of parous women desiring copper IUD insertion. We randomized the subjects in a 1:1 ratio to LP cream or placebo...
November 4, 2016: Contraception
https://www.readbyqxmd.com/read/27806455/outcomes-of-intrauterine-device-insertion-training-for-doctors-working-in-primary-care
#5
Mary Stewart, Erol Digiusto, Deborah Bateson, Rebecca South, Kirsten I Black
BACKGROUND: Intrauterine devices (IUDs) are underused in Australia despite being one of the most effective, reversible methods of contraception. OBJECTIVE: The objective of this article is to report on the outcomes of a competency-based IUD training program by Family Planning NSW for general practitioners (GPs). METHODS: Pre-training and post-training questionnaires were used for a 12-month cohort study of GPs who undertook IUD insertion training...
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27768966/a-multicenter-study-assessing-uterine-cavity-width-in-over-400-nulliparous-women-seeking-iud-insertion-using-2d-and-3d-sonography
#6
Dirk Wildemeersch, Thomas Hasskamp, Kilian Nolte, Sohela Jandi, Ansgar Pett, Sabine Linden, Maarten van Santen, Olivier Julen
BACKGROUND: In the selection of an appropriate IUD little consideration is placed on device size or adequacy of fit. Properly fitting IUDs will likely lead to less adverse effects or patient discomfort resulting in enhanced continuation of use. METHODS: A multicenter study conducted at 7 centers in 410 nulliparous women, to measure the width of the uterine cavity using 2D and 3D ultrasound. RESULTS: Measurements of maximal fundal cavity width was performed by either 2D or 3D ultrasound by experienced sonographists...
September 21, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27741184/intrauterine-device-insertion-failure-after-misoprostol-administration-a-systematic-review
#7
Laura R Matthews, Linda OʼDwyer, Erica OʼNeill
OBJECTIVE: To examine rates of intrauterine device (IUD) insertion failure with and without prior misoprostol administration. Additional outcomes included difficulty of insertion, subjective pain, expulsion, and complications. DATA SOURCES: Systematic searches were performed in PubMed MEDLINE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and Cumulative Index to Nursing and Allied Health Literature for articles with the following keywords: "misoprostol," "intrauterine devices," and "IUDs...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27704541/user-characteristics-experiences-and-continuation-rates-of-copper-intrauterine-device-use-in-a-cohort-of-australian-women
#8
Deborah Bateson, Caroline Harvey, Lieu Trinh, Mary Stewart, Kirsten I Black
BACKGROUND: Copper intrauterine device (Cu-IUD) use in Australia is low despite being a highly effective, cost effective non-hormonal contraceptive with reported 12-month continuation rates of 85% compared to 59% for oral contraception. AIMS: To describe the characteristics of Cu-IUD users in the Australian context, their experiences of side effects, continuation rates and reasons for discontinuation. METHODS: Between August 2009 and January 2012 we undertook a prospective cohort study of consecutive women presenting for Cu-IUD insertion to three family planning clinics in Queensland and New South Wales...
December 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27689407/contraceptive-counselling-of-women-seeking-abortion-a-qualitative-interview-study-of-health-professionals-experiences
#9
Helena Kilander, Birgitta Salomonsson, Johan Thor, Jan Brynhildsen, Siw Alehagen
OBJECTIVES: A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalś experiences of providing contraceptive counselling to women seeking an abortion. METHODS: We interviewed 21 health professionals (HPs), involved in contraceptive counselling of women seeking abortion at three differently sized hospitals in Sweden...
September 30, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27689173/objective-assessment-of-cervical-stiffness-after-administration-of-misoprostol-for-intrauterine-contraceptive-insertion
#10
S Badir, E Mazza, M Bajka
PURPOSE: The goal of this study was to objectively quantify cervical stiffness in misoprostol users prior to IUC insertion and at follow-up consultation to evaluate the feasibility of assessing cervical stiffness and to study the influence of misoprostol on cervical softening. MATERIALS AND METHODS: This was a cross-sectional study that evaluated 40 women who wished to use the LNG IUS. These women were evaluated immediately before LNG IUS insertion and 6 weeks later at follow-up consultation...
May 2016: Ultrasound International Open
https://www.readbyqxmd.com/read/27677612/women-with-epilepsy-initiating-a-progestin-iud-a-prospective-pilot-study-of-safety-and-acceptability
#11
Anne R Davis, Heva J Saadatmand, Alison Pack
OBJECTIVE: Effective contraception enables women with epilepsy (WWE) to plan their pregnancies and improve outcomes for themselves and their children. Although popular among all women, complex drug interactions limit the efficacy and safety of oral contraceptives (OCs) for WWE. We sought to explore the safety, acceptability, and pharmacokinetic impact of a progestin-containing intrauterine device (IUD) in WWE. METHODS: We enrolled 20 women with well-controlled epilepsy and a stable antiepileptic drug (AED) regimen and who were initiating a progestin-containing IUD (levonorgestrel 52 mg) in a prospective, observational study...
November 2016: Epilepsia
https://www.readbyqxmd.com/read/27647427/ep27-08-abdominal-2d-ultrasonography-evaluation-of-copper-t-intrauterine-device-iud-insertion-during-family-planning-course-of-fourth-year-medical-students
#12
M Rahman, D Sangun, S Prawitasari, O Emilia
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27500351/self-administered-lidocaine-gel-for-intrauterine-device-insertion-in-nulliparous-women-a-randomized-controlled-trial
#13
Rachel B Rapkin, Sharon L Achilles, E Bimla Schwarz, Leslie Meyn, Miriam Cremer, Christy M Boraas, Beatrice A Chen
OBJECTIVE: To evaluate self-administration of vaginal lidocaine gel to decrease pain with intrauterine device (IUD) insertion in nulliparous women. METHODS: In this randomized, double-blind, placebo-controlled trial, women self-administered 2% lidocaine or placebo vaginal gel 5 minutes before IUD insertion. The primary outcome was change in pain from baseline to IUD insertion on a 100-mm visual analog scale. We also assessed pain after speculum insertion, tenaculum placement, uterine sounding, and 5 minutes after IUD insertion...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27416620/current-status-of-frameless-anchored-iud-for-immediate-intracesarean-insertion
#14
Dirk Wildemeersch, Norman D Goldstuck, Thomas Hasskamp
Immediate postpartum intrauterine device (IUD) insertion deserves great attention as it can provide immediate, timely and convenient contraception plus the added benefit of preventing repeat unintended pregnancies. Although women post vaginal delivery can benefit from immediate post-placenta contraception, women undergoing Cesarean section clearly need contraception, as an inter-delivery interval shorter than 18 months places them at a high risk for uterine rupture. The main drawback of currently available framed IUD devices for immediate postpartum insertion of an IUD is their high expulsion and displacement rates when inserted immediately postpartum after both vaginal and Cesarean delivery...
January 2016: Developmental Period Medicine
https://www.readbyqxmd.com/read/27374735/immunologic-evaluation-of-the-endometrium-with-a-levonorgestrel-intrauterine-device-in-solid-organ-transplant-women-and-healthy-controls
#15
Caron R Kim, Otoniel Martinez-Maza, Larry Magpantay, Clara Magyar, Jeffrey Gornbein, Radhika Rible, Peggy Sullivan
OBJECTIVES: To describe the endometrial milieu of stable transplant patients and healthy women before and after levonorgestrel intrauterine system (LNG-IUS) insertion. STUDY DESIGN: Women between 18-45 years of age desiring LNG-IUS insertion were enrolled with a 2:1 ratio of healthy to stable solid organ transplant patients. The first visit entailed a blood draw, uterine lavage and endometrial biopsy followed by LNG-IUS insertion. Follow-up visit involved a repeat serum draw, uterine lavage and endometrial biopsy...
June 30, 2016: Contraception
https://www.readbyqxmd.com/read/27373540/medications-to-ease-intrauterine-device-insertion-a-systematic-review
#16
Lauren B Zapata, Tara C Jatlaoui, Polly A Marchbanks, Kathryn M Curtis
BACKGROUND: Potential barriers to intrauterine device (IUD) use include provider concern about difficult insertion, particularly for nulliparous women. OBJECTIVE: This study aims to evaluate the evidence on the effectiveness of medications to ease IUD insertion on provider outcomes (i.e., ease of insertion, need for adjunctive insertion measures, insertion success). SEARCH STRATEGY: We searched the PubMed database for peer-reviewed articles published in any language from database inception through February 2016...
June 29, 2016: Contraception
https://www.readbyqxmd.com/read/27353620/success-providing-postpartum-intrauterine-devices-in-private-sector-health-care-facilities-in-nigeria-factors-associated-with-uptake
#17
George Ie Eluwa, Ronke Atamewalen, Kingsley Odogwu, Babatunde Ahonsi
BACKGROUND: Use of modern contraceptive methods in Nigeria remained at 10% between 2008 and 2013 despite substantive investments in family planning services. Many women in their first postpartum year, in particular, have an unmet need for family planning. We evaluated use of postpartum intrauterine device (IUD) insertion and determined factors associated with its uptake in Nigeria. METHODS: Data were collected between May 2014 and February 2015 from 11 private health care facilities in 6 southern Nigerian states...
June 20, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27349294/unprotected-intercourse-in-the-2-weeks-prior-to-requesting%C3%A2-emergency-intrauterine-contraception
#18
Jessica N Sanders, Laura Howell, Hanna M Saltzman, E Bimla Schwarz, Ivana S Thompson, David K Turok
BACKGROUND: Previous emergency contraception studies have excluded women who report >1 episode of unprotected or underprotected intercourse. Thus, clinical recommendations are based on exposure to a single episode of underprotected intercourse. OBJECTIVE: We sought to assess the prevalence and timing of underprotected intercourse episodes among women requesting emergency contraception and to examine the probability of pregnancy following an emergency contraception regimen including placement of either a copper intrauterine device or a levonorgestrel intrauterine device with simultaneous administration of an oral levonorgestrel pill in women reporting multiple underprotected intercourse episodes, including episodes beyond the Food and Drug Administration-approved emergency contraception time frame (6-14 days)...
June 24, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27337853/reasons-for-intrauterine-device-use-discontinuation-and-non-use-in-malawi-a-qualitative-study-of-women-and-their-partners
#19
RANDOMIZED CONTROLLED TRIAL
Amy G Bryant, Gloria Hamela, Ann Gotter, Gretchen S Stuart, Gift Kamanga
The copper intrauterine device (IUD) is a safe, long-acting, and effective method of contraception that is under-utilized in many countries, including Malawi. A unique cohort of women who had enrolled in a trial of postpartum IUD use one year earlier gave insights into reasons for using, discontinuing, or not using the IUD. We conducted in-depth interviews with 18 women one year after they participated in a pilot study of a randomized controlled trial of postpartum IUD insertion, and 10 of their male partners...
December 2015: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/27264913/experiences-of-advanced-practitioners-with-inserting-the-copper-intrauterine-device-as-emergency-contraception
#20
Rachel L Wright, Caren J Frost, David K Turok
INTRODUCTION: The copper intrauterine device (IUD) is the most effective method of emergency contraception (EC) available for use after unprotected intercourse. Family planning clinics, commonly staffed by advanced practice clinicians, fulfill a significant role in health care and contraceptive service delivery for women in the United States. There are limited data assessing the perspectives and experiences of these providers in using the copper IUD as EC in these settings. METHODS: Semistructured individual interviews were conducted with 12 advanced practice clinicians with experience inserting the copper IUD...
September 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
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