Intrauterine Devices - Science topic

Sickle cell disease (SCD) is a chronic inflammatory condition characterized by hemoglobin polymerization that precipitates recurrent vaso-occlusion, endothelial dysfunction, and multi-organ damage. Menstruation in persons with SCD presents a unique challenge due to blood loss and its ability to exacerbate SCD pain. This interaction between SCD-rela...

Against the backdrop of a protracted conflict, northwest Syria faces significant challenges in delivering sexual and reproductive health and rights (SRHR) services. The conflict, which began in 2011, has severely impacted maternal and child health, women’s wellbeing, and agency. This disruption has been exacerbated by widespread displacement, infra...

INTRODUCTION: Contraceptive counselling plays a crucial role in Family Planning within Primary Healthcare. While combined hormonal contraceptives (CHC) are widely used, it is essential to consider alternatives for women diagnosed with migraine. The primary objective of this project is to ensure the appropriate prescription of contraceptives for wom...

Background Since the introduction of the birth control pill in 1960, Canadians have been offered a number of different options for hormonal contraceptives, yet oral contraceptives remain the most popular methods. Research from other countries indicates this may be shifting, but the last comprehensive survey of Canadian hormonal contraceptive usage...

Post-coital contraception is an important strategy in family planning to prevent unplanned pregnancies and optimize maternal and child health. One of the recommended contraceptive methods is the Intrauterine Device (IUD), which can be inserted immediately after delivery. However, the adoption rate of post-sync IUD is still low in many areas, includ...

Background The right to autonomy in family planning is a cornerstone of reproductive health. Yet, many women face challenges when seeking to discontinue provider-dependent contraceptive methods, such as implants and intrauterine devices (IUDs). This study explored the experiences of women in Eastern Uganda regarding the discontinuation of implants/...

Background/Objectives: To assess the effectiveness of the levonorgestrel-releasing intrauterine device (LNG-IUD) compared to hysteroscopic resection for managing women with symptomatic cesarean scar defects (CSDs). Methods: This systematic review and meta-analysis followed PRISMA guidelines. A comprehensive search of four electronic databases was c...

Background To date, there are no clear guidelines available on the treatment of adenomyosis-associated pelvic pain (AAPP); however, numerous hormonal treatments (HTs) are currently being used off-label. We conducted a systematic review and network metanalysis with the aim of assessing the efficacy and safety of HTs to reduce AAPP and ranking the av...

Exposing the insides of the reproductive body visually and narratively has been a long project that has had positive and negative effects on a person’s control over their choice to or not to have a child, as historians of medicine, reproduction, and the body have told us and as feminist health advocates have long insisted. The intrauterine device i...

Background The European Active Surveillance Study of LCS12 (EURAS-LCS12) investigates effectiveness and safety of intrauterine devices (IUDs) in routine clinical practice. Here, we aim to characterise the general population of IUD users across Europe recorded in a real-world setting. Methods EURAS-LCS12 is a prospective, non-interventional cohort...

Intrauterine devices (IUDs) provide effective and reversible contraception, but rare pregnancies can lead to complications like miscarriage and preterm labor. Timely removal during the first trimester is advised to reduce risks. This case reports a 17-year-old female who presented with abdominal pain and vaginal bleeding after 16 months of IUD use...

An intrauterine contraceptive device (IUCD) is a widely utilized contraceptive method. However, in rare instances, it may lead to severe complications such as strangulated intestinal obstruction. This paper presents a case involving an elderly female patient who developed acute abdominal pain and was subsequently diagnosed with strangulated intesti...

Purpose We aimed to conduct a systematic review and meta-analysis comparing the outcomes of subdermal implants and levonorgestrel intrauterine system (LNG-IUS) in reproductive-aged women. Methods In April 2024, we searched Pubmed, Embase and Cochrane trials using the search terms: “etonogestrel”, “levonorgestrel” and “randomized controlled trials”...

Background and Clinical Significance: This study presents a case of a 43-year-old female with a long history of infertility, treated for uterine leiomyoma and endometrial hyperplasia, over a total observation period of 42 months. Case Presentation: Levonorgestrel intrauterine device (LNG-IUD) therapy, as a first and subsequent line of treatment, wa...

Pheochromocytoma is a rare, primarily benign tumor that arises from the chromaffin cells of the adrenal medulla. It is known for causing excessive secretion of catecholamines, such as epinephrine and norepinephrine. This condition poses significant health risks due to its potential to cause severe cardiovascular complications, including hypertensio...

Introdução: O dispositivo intrauterino (DIU) é um dos métodos contraceptivos mais eficientes. Todavia, muitas mulheres têm receio em relação à dor sentida na inserção1. Estudos têm associado intensidade da dor com variáveis sociodemográficas e clínicas2-4. Objetivos: Analisar a relação entre perfil clínico e sociodemográfico das mulheres submetidas...

Purpose: To estimate the 1-year continuation rate of low-dose levonorgestrel-releasing intrauterine systems (LNG-IUS) in Spanish women and elucidate potential factors impacting continuation. Materials and Methods: A prospective, multicenter, noninterventional study with a 1-year follow-up was conducted in Spain. Participants were 18–35-year-old wom...

Background: Postpartum family planning is crucial for improving maternal and neonatal health, especially in rural areas with limited healthcare access. Postpartum intrauterine contraceptive devices (PPIUCD) offer a safe, effective, and long-acting contraceptive solution. However, its uptake remains low due to various barriers, including lack of awa...

Purpose The evolution of new carbapenemase variants is alarming. We aimed to investigate the genetic context and molecular epidemiology of the emerging OXA-484 carbapenemase in the United Arab Emirates, to decipher its resistance mechanisms and evolutionary relationships. Methods Antimicrobial susceptibility testing was performed for an E. coli is...

The genitourinary syndrome of menopause (GSM) is a prevalent condition impacting a substantial number of women globally. Presently, the management of GSM typically entails the administration of estrogen via oral, dermal, or vaginal routes for a prolonged period of time. This study involves the development of a polymer-based hollow cylindrical deliv...

Background: Abnormal uterine bleeding (AUB) is a prevalent gynecological condition affecting menstrual regularity and quality of life, with causes ranging from structural abnormalities to hormonal imbalances. Conventional treatments, including hormonal therapy and surgery, pose challenges such as side effects, non-compliance, and fertility loss. Th...

Introduction Intrauterine adhesions (IUAs) are one of the most common causes of uterine infertility. Hysteroscopic adhesiolysis is the primary treatment for IUA, but the rate of IUA recurrence is high in moderate to severe cases. While traditional guidelines recommend placing a non-copper stainless steel intrauterine device (IUD) into the uterine c...

The Cu-T intrauterine device (IUD) is a popular contraceptive method. However, a "missing" Cu-T IUD poses a clinical challenge. This situation arises when the IUD cannot be visualized on ultrasound or X-ray, raising concerns about potential complications. This review discusses the etiology, diagnosis, and management of a missing Cu-T IUD, including...

Background Numerous surgical techniques have been proposed to enhance the stability of intrauterine system (IUS) and reduce the incidence of displacement and expulsion, however, challenges remain. We aim to explore improved therapeutic strategies for levonorgestrel-releasing intrauterine system (LNG-IUS) displacement or expulsion cases. Methods Th...

Introduction: Actinomyces are commensal bacteria that colonize various sites in the human body. Under certain predisposing conditions, they can proliferate and cause granulomatous inflammation in different tissues. Pelvic actinomycosis is an extremely rare condition; its significance lies in the fact that it can be easily misdiagnosed as gynecologi...

Background The effect of pre-pregnancy intrauterine device (IUD) use on subsequent preterm birth (PTB) remains unclear. We aim to investigate the association between IUD use before pregnancy and subsequent PTB. Methods A total of 240,437 women who participated in the National Free Preconception Health Examination Project (NFPHEP) in Yunnan from 20...

Contraception is vital for reducing unwanted pregnancies and promoting healthy living among women. The postpartum period offers a unique opportunity to implement birth spacing strategies that can significantly improve maternal and infant health outcomes. Despite the availability of effective contraceptive methods, many women do not use contraceptio...

Women’s health is gaining attention with advancements in medical research and technology focused on addressing unique healthcare challenges and improving the overall well-being of women. Therefore, the main goal of the present study is to develop and manufacture drug delivery devices for fungal treatment concerning women’s health attention. Ethylen...

Misplaced Copper T intrauterine devices (CuT) in the abdominal cavity are a rare but serious complication of IUD use. The incidence of transuterine perforation and migration of intrauterine contraceptive devices into the abdominal cavity has been estimated at less than 0.1% (Junnare et al., 2020). This case involves a 27-year-old female who develop...

Background: Family planning programmes globally emphasise voluntarism and rights in contraceptive provision, shifting the focus away from fertility regulation. With the intent of measuring the policy-practice gap, this study aims to determine access to voluntary rights-based family planning services among women of reproductive age. Methods: Betw...

Objective To evaluate the association between contemporary hormonal contraceptive use and the risk of incident ischaemic stroke and myocardial infarction. Design Real-world, nationwide, prospective cohort study. Setting Denmark, by use of national registries. Participants All women aged 15-49 years residing in Denmark between 1996 and 2021, with...

Background Rwandan individuals bordering the Democratic Republic of the Congo (DRC) are at-risk of Ebola virus disease. A 2019 to 2021 vaccination campaign called UMURINZI offered a Janssen Vaccines & Prevention B.V. 2-dose heterologous Ebola vaccine regimen (Ad26.ZEBOV, MVA-BN-Filo) to Rwandan individuals aged ≥2 years and not pregnant. In this re...

Background: Postpartum family planning (PPFP) is crucial to prevent unintended pregnancies and promote maternal and child health. However, postpartum contraceptive awareness and acceptance remain low in many developing countries, including India, where high fertility rates contribute to rapid population growth and strain health care resources. This...

Intrauterine devices (IUDs) are widely used long-acting contraceptive methods that cause biochemical and morphological changes in the uterine cavity. Despite their widespread adoption, systems for monitoring the effects and outcomes of IUD usage remain underdeveloped. This study aimed to conduct a narrative review of patents and applications for mo...

Contraceptive prevalence influences fertility which in turn influences socioeconomic growth, health care especially maternal and child health (MCH) care and quality of life. This cross-sectional, descriptive study was conducted in Churkhai village under Mymensingh district, Bangladesh, between December 2021 and April 2022, to estimate the prevalenc...

Background: India’s growing population necessitates effective postpartum contraceptive methods to reduce unintended pregnancies and to improve reproductive health outcomes. Postpartum intrauterine contraceptive devices (PPIUCDs) offer a reversible, long-term solution, but insertion timing- post-placental or intra-cesarean may affect their safety an...

Aim: The aim of family planning services is to provide individuals with the information and support they need to make informed, safe and healthy reproductive decisions. Furthermore, it provides women with the option to space out their pregnancies and offers protection from unplanned pregnancies. It is thought that family planning services could pla...

Intrauterine contraceptive devices (IUDs) are highly efficient at preventing unintended pregnancies, without minimal failure rates, rare complications such as retention or displacement during pregnancy may lead to significant clinical challenge. This case discusses the diagnostic and management challenges of presumed IUD retention in the background...

Introduction Intrauterine devices (IUDs) are highly effective contraceptives. Despite their effectiveness, pregnancies can occur during IUD use, and the management of such cases, particularly when the pregnancy is desired, remains controversial. Material and Methods We conducted a systematic review and meta‐analysis to evaluate outcomes in women w...

Background Male knowledge and acceptance of modern contraceptive use play a significant role in uptake. This study assessed the factors associated with male acceptance of modern contraceptive methods in Ho Municipality. Methods A cross-sectional study with a quantitative approach was employed. Systematic random sampling was used to select 503 part...

Purpose: Globally, there is a lack of access to health care providers who offer gynecological procedures. Understanding the practice patterns of academic family physicians (AFPs) and whether additional training impacts the provision of care is critical. This study surveys the practice patterns of AFPs regarding gynecological procedures offered, ide...

Candida species, normally part of the healthy human flora, can cause severe opportunistic infections when their population increases. This risk is even greater in immunocompromised individuals. Women using intrauterine contraceptive devices (IUDs) are at higher risk for IUD-associated vulvovaginal candidiasis (VVC) because the device provides a sur...

Intrauterine devices (IUDs) are highly effective long-acting contraceptives. However, pain associated with insertion deters some women and impacts satisfaction. This systematic review critically evaluates the effectiveness of local anesthetics, misoprostol, nonsteroidal anti-inflammatory drugs (NSAIDs), and conscious sedation for managing pain asso...

A BSTRACT Background Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD). Material and Methods The present cross-sectional study was conducted in t...

Background The intrauterine device (IUD) is a highly effective form of long-acting reversible contraception, widely recognized for its convenience and efficacy. Despite its benefits, many patients report moderate to severe pain during and after their IUD insertion procedure. Furthermore, reports suggest significant variability in pain control medic...

Background An intrauterine device (IUD) is a widely used long-term contraceptive device for family planning. However, the IUD can lead to various complications. Severe complications and remedial measures caused by IUDs have been reported in the literature; however, detailed surgical approaches for safely removing the IUD within the minimum surgical...

This study investigated the risk factors for endometrial hyperplasia (EH) and endometrial carcinoma (EC) in premenopausal women. The goal was to establish a nomogram model to predict the risk of EH/EC and quantitative standards in clinical practice, which improved the clinical prognosis of EH/EC patients. Data were collected from premenopausal wome...

We report a rare case of a 29‐year old woman presenting with abdominal pain, whose initial examination failed to identify intrauterine contraceptive device (IUCD) threads. IUCD migration was confirmed by CT scan and subsequent single‐port laparoscopic retrieval alleviated her symptoms.

Background The way that healthcare services are organised and delivered (termed ‘healthcare delivery arrangements’) is a key aspect of a health system. Changing the way health care is delivered, for example, task shifting that delivers the same care at lower cost, may be one way of improving healthcare system sustainability. We synthesised the exis...

Background: Antenatal care is the comprehensive care of woman before and throughout the pregnancy as well as it is an important chance to teach mothers new technique in health management such as family planning, that are essential in reduction of maternal and neonatal morbidity and mortality. Postpartum family planning is a crucial intervention for...

Objectives: The downregulation of anti-adhesive regulatory proteins and upregulation of adhesive genes are critical for the receptive endometrium. This study was designed to determine whether switching between the anti-adhesive podocalyxin (PDX) and adhesive HOXA10 receptivity modulator occurs in the endometrium of women with recurrent implantation...

Endometrial cancer is the most common gynecological neoplasm with an increased incidence in the premenopausal population in recent decades. This raises the problem of managing endometrial cancer in fertile women who have not yet achieved pregnancy. In these women, after careful selection, hysterectomy may be postponed in favor of conservative manag...

Background: Women’s health and well-being are intricately linked to family planning services, yet obstacles remain in the effective use of contraceptives despite widespread awareness. Aims and Objectives: The primary goals are to evaluate the knowledge, attitudes, and practices regarding contraceptive methods, identify factors influencing both pref...

Background: The immediate postpartum intrauterine contraceptive device (PPIUCD) offers an effective, reversible contraception method during the delivery process. Recognized for its strategic role in family planning, PPIUCD facilitates timely contraceptive intervention in both vaginal and cesarean deliveries. Objective: This study aims to evaluate t...

Objective Endometrial resection and ablation are minimal invasive surgeries used to treat women with abnormal uterine bleeding (AUB). Both may be followed by a high reoperation rate up to 24%. However, some studies suggest that this may be improved by adding a levonorgestrel intrauterine device (LNG-IUD) immediately following surgery. The aim of th...

In West Kalimantan, the number of users of long-term contraceptive methods in 2017 was 9.2 %. The number of users of long-term contraceptive methods is still relatively low compared to the number of users of other contraceptive methods. In Sungai Kunyit Village, a community that uses MKJP, out of 10 women of childbearing age, no one uses MKJP. The...

Introduction: Despite increasing awareness on the prevention of Ureaplasma urealyticum (Uu) infection, the high-risk factors responsible for infection in female patients in China are yet to be determined. Methodology: The study included 3043 Chinese women. Cervical secretion samples were collected for Uu identification. Results: Higher age groups (...

The intrauterine device (IUD) is a widely used long-acting reversible contraceptive (LARC) method due to its high effectiveness and low maintenance. The most common type is the copper IUD (Cu-IUD), although the levonorgestrel-releasing hormonal IUD is also available. Its complications include dysmenorrhea, menorrhagia, and pelvic infections; howeve...

Introduction IUDs are effective, reversible and safe methods of contraception. The mechanism of action of IUDs as a group is inducing endometrial atrophy, apoptosis, altering tubal motility; preventing sperm permeability, fertilization, and implantation. Complications of IUD include menstrual disturbance, pelvic pain, and increased risk of ectopic...

Introduction: Intrauterine contraceptives (IUC) are affordable and effective long-acting reversible contraception options in women. Traditionally offered at 6 weeks postpartum, there is an increasing trend towards insertion at time of delivery in both vaginal and caesareans after placental delivery. This literature review analyses current data on d...

We describe the case of a 43-year-old woman presented with an 8-month history of intermittent non-specific abdominal pain. She had an Intrauterine Contraceptive Device (IUCD) inserted 4-years ago and the device was still in-situ. After initial gynaecological assessment, further clinical radiological investigations, computerized tomography imaging s...

Purpose: The main goal of the present study is to develop and manufacture drug delivery devices for fungal treatment concerning women's health attention. Methods: Ethylene Vinyl Acetate (EVA) and Thermoplastic Polyurethane TPU were manufactured by hot melt extrusion (HME) and fused-deposition modeling (FDM™). Drug loaded prototypes were manufacture...

Intrauterine contraceptive devices (IUCDs) are a measure of temporary sterilization. Misplacement of IUCD is fairly common and most of these women remain asymptomatic. We report a clustered case series of misplaced, mal-positioned, and transmigrated IUCDs with serious complications and their management by minimally invasive surgery in a newly estab...

The intrauterine device (IUD) is an important and highly effective means of contraception. Migration of the IUD, post implantation, out of the uterus is an infrequent complication, and its subsequent migration into the urinary bladder with formation of secondary bladder calculi, is even more infrequently reported. The authors report a 51 year old w...

Chinese rural-to-urban migrant workers have high rates of unintended pregnancy, yet many are reluctant to choose the most effective forms of contraception, such as IUDs (intrauterine devices). Those who do are often socioeconomically disadvantaged, a finding that contradicts much health research, namely that higher SES individuals can access better...

Introduction The intrauterine device (IUD) inserted immediately after delivery is a safe and effective measure for preventing unplanned pregnancies. Despite exhibiting a higher expulsion rate compared with later insertions, it proves cost-effective due to the high rate of continuity of the method. There is still a gap in the literature regarding th...

Background: Residency orientations are often focused on administrative obligations and less often focused on program-specific skills training. Introduction of these skills during the orientation period has been shown to improve resident confidence and proficiency. The purpose of this quality improvement project is to propose the introduction of a s...

Introduction The intrauterine device (IUD) represents the most cost-effective, long-acting reversible form of contraception, but accounts for only 1% of all contraception methods used in Tanzania. Objective This study aims to determine the uptake of IUD use and investigate the perceptions, challenges, and recommendations surrounding the use of int...

This study aimed to observe contraceptive access, including types of contraceptives and level of use, among girls and young adults living in foster care following a state policy insurance change. This cohort study utilized linked, state administrative data to analyze child welfare and Medicaid claims data of 1641 female foster youth in Michigan. Or...

Background/Objective: Indwelling intrauterine contraceptive devices (IUDs) have surfaces that facilitate the attachment of Candida spp., creating a suitable environment for biofilm formation. Due to this, vulvovaginal candidiasis (VVC) is frequently linked to IUD usage, necessitating the prompt removal of these devices for effective treatment. In t...

The goal is to conduct a clinical, laboratory, and instrumental assessment of a 5-year use of a micronized estrogen-gestagen-containing contraceptive, an intrauterine levonorgestrel-releasing system, and a progesterone receptor modulator in patients with uterine fibroids.Material and research methods. Group 1 consisted of 42 women with uterine fibr...

Objective: Uterine manipulation with an intrauterine device is the surgical method used for early-stage cervical cancer. In this study, we explored a modified uterine manipulation method without the using an intrauterine device during laparoscopic radical hysterectomy (LRH) of patients with early-stage cervical cancer. Methods: We retrospectively c...

Background This study aimed to determine the level of knowledge of postpartum patients on traditional (lactation amenorrhea method (LAM), withdrawal, calendar) and modern (condoms, intrauterine devices (IUDs), pills, implants, sterilization) contraception methods available in Haiti as well as their behaviour towards them. We also sought to investig...

Objectives To assess factors influencing choice of contraceptive methods among women in Mosul, Iraq. Methods An analytic cross-sectional study was conducted during the period extending from July 2022 to March 2023, and a convenience sample of 100 women at child-bearing age (15-49 years) was collected from those attending the Family Planning Clinic...

Objective: Contraception use and follow-up visit data from before and in two periods during the coronavirus disease-2019 (COVID-19) pandemic were compared to investigate change in behavior. Material and methods: A retrospective study of women aged 18-49 years from New York City during three one-year time periods: pre-COVID-19 pandemic [(COV-PRE)...

Introduction: India is committed to achieving universal health care for all by 2030. The objective of social marketing is to promote public health and its goal is to improve health for all, but there are some challenges like irregular availability, quality issue, inadequacy of marketing causes under- utilization of the government supplied health co...

Background Despite access to post abortion intrauterine contraception, the uptake of Intrauterine devices (IUDs) in Uganda remains low. Whether the perceptions of healthcare providers towards IUDs have a role in the provision of post abortion IUDs remains unclear. We explored perceptions on post abortion IUD provision among healthcare providers in...

Background. Medical management for heavy menstrual bleeding (HMB) in low- and middle-income countries is limited. The National Institute for Health and Care Excellence recommends the levonorgestrel intrauterine device (LNG-IUD) as first-line management for HMB. However, since 2019, South Africa’s (SA) Essential Medicines List (EML) guidelines have...

Objectives To assess the value of misoprostol administration before IUD insertion. Search strategy Screening of PubMed, Scopus, Web Of Science, ScienceDirect, and clinical trials registry till April 2024 using the keywords misoprostol, prostaglandin E1 analogue, IUD, IUCD, intrauterine device, IUD insertion, and their MeSH terms. Selection criter...