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Title: Anchored IUDs. A new development in intrauterine contraception. Author: Thiery M. Journal: IPPF Med Bull; 1988 Oct; 22(5):3-4. PubMed ID: 12281625. Abstract: The need for IUD removal due to bleeding could be reduced by reducing the size of the device, which could be done if the frame were replaced by threading copper tubules on a nonresorbable string anchored in the fundus of the uterus. Such devices have been designed since 1977, but the most successful one was a temporary device designed in 1984 by D. Wildemeersch to insert a postpartum IUD during the period of uterine involution. A similar device for permanent attachment, the Cu-Fix 390 IUD, consists of 6 copper tubules, each 5 mm long and 2.2 mm in diameter threaded on a polypropylene filament. A knot at the distal end serves as a retention body attached by a loop embedded in the uterine fundus. Insertion is accomplished by a tube and a plunger which carries a stylet for embedding the loop. Between 1985 and 1988, 382 devices were inserted, 38.5% in nulliparas and 53.7% in women under 30. The only problem encountered was some spotting. For postpartum insertion the Gyne-T 380 PP IUD, which is an ordinary T Cu 380 IUD provided with a loop of catgut between 2 knots, is inserted by a tube and plunger device with a pin to insert the knots into the fundus to anchor the IUD. This device may solve the problem of enhanced IUD expulsion after postplacental insertion.[Abstract] [Full Text] [Related] [New Search]