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  • Title: [Assessment of the performance of a copper intrauterine device: MLCu 375].
    Author: Audebert A, Emperaire JC, Larue-charlus S.
    Journal: Contracept Fertil Sex (Paris); 1985 Jan; 13(1):13-6. PubMed ID: 12266608.
    Abstract:
    Between November 1977 and May 1978, 120 Multiload Cu 375 (ML Cu 375) IUDs were inserted to be used for periods of 24 months in 24 women or 36 months in 96 women. 4 patients were aged 24 years or younger, 38 were 25-29, 40 were 30-34, 21 were 35-39, 13 were 40-44, and 4 were 45 or over. 9 were nulliparous, 30 were primaparous, and 81 were multiparous. 35 women had used another type of IUD and 5 had expelled another model. At 12, 24 and 36 months respectively there were 1, 2, and 0 pregnancies; 3, 4 and 0 expulsions; 5, 3, and 4 removals for pain; 0, 2, and 1 removal for other medical reasons; 0, 1, and 1 removals for personal reasons; and 2, 4, and 3 removals because of desire for pregnancy. The number of cycles included at 12, 24, and 36 months respectively were 1354, 2454, and 3081, and a total of 20 patients were lost to follow-up over 36 months. The small sample size and limited number of cycles of use prohibit a complete evaluation of the ML Cu 375, but the author's experiences confirm the simplicity of insertion, efficacy, good retention and acceptable tolerance of the device. A review of the literature suggests that IUDs with large doses of copper, such as the ML Cu 375, offer contraceptive efficacy that will be difficult to improve, at least with copper devices.
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