Abstract
Background
Many intrauterine device (IUD) users utilize intravaginal menstrual cups or tampons
during menses, but no studies have investigated the impact this practice may have
on IUD expulsions.
Study Design
Retrospective chart survey.
Results
Of the 930 women having IUDs placed and reporting menstrual protection, 10.3% (96)
used menstrual cups, 74.2% (690) used tampons, and 43.2% (402) used pads (many women
reported using more than one method). In the 743 women with adequate follow-up information,
there was a full or partial expulsion (i.e., part of the IUD in the cervical canal)
rate of 2.5% (27) during the first 6 weeks after insertion. There was no difference
in the women using cups, tampons or pads (confidence intervals overlap).
Conclusions
From this study, there is no evidence that women who report using menstrual cups or
tampons for menstrual protection had higher rates of early IUD expulsion.
Keywords
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References
- Contraceptive failure in the United States.Contraception. 2011; 83: 397-404
- Use of contraception in the United States: 1982���2008.Vital Health Stat 23. 2010; 29: 1-44
- Contraception in Canada: a review of method choices, characteristics, adherence and approaches to counselling.CMAJ. 2007; 176: 953-961
- Intrauterine devices and intrauterine systems.Hum Reprod Update. 2008; 14: 197-208
- Complications of the intrauterine device in nulliparous and parous women.Eur J Gen Pract. 2004; 10: 82-87
- Complications among adolescents using copper intrauterine contraceptive devices.Int J Gynaecol Obstet. 2011; ([Epub ahead of print])
- Copper intrauterine device use by nulliparous women: Review of side effects.Contraception. 2007; 75: S8-11
- Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion.Eur J Obstet Gynecol Reprod Biol. 2008; 137: 92-96
Article info
Publication history
Published online: March 30, 2012
Accepted:
December 2,
2011
Received in revised form:
November 30,
2011
Received:
September 30,
2011
Footnotes
���Dr. K.T. has accepted payment from Bayer for teaching IUD insertion.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
