These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Genital tract bleeding in IUD users and its relation to the device state.
    Author: Naguib YA, Darwish NA, Osman E, Nagui AR, Thabet SM, El-halafawy AA.
    Journal: J Egypt Soc Obstet Gynecol; 1979 Jan; 5(1):43-9. PubMed ID: 12309832.
    Abstract:
    The relationship between the device state of an IUD and genital tract bleeding was investigated. The investigation was based on data collected from a random 1075 insertions of 30-mm Lippes Loops, which constituted a general incidence of bleeding of 15% in IUD users. In 21% of these cases, the bleeding could not be halted by standard treatments, and the IUD was removed. X-ray, hysterography, and ultrasonography were used to diagnose the IUD state in situ. 75% of the cases requiring IUD removal showed abnormal radiological findings, whereas only 20% of the treatable bleeding cases showed radiological device abnormality. Use-duration was the main factor in the findings; users of IUDs for less than 1 year had abnormal radiological findings in 58.3% of resistant cases and in 29.6% of treatable cases. The corresponding figures among users for periods of time varying from 1-3 years and greater than 3 years were 49.6 and 11.4, respectively, and 86.6 and 66, respectively. Device displacement, distortion, and fractures were the most common radiologically detected abnormalities. In the 2 groups studied, the bleeding pattern varied in amount and type. In resistant cases, metrorrhagia was significant. The increase of vaginal discharge (40.4%), uterine colic (88%), tenderness (25.8%), and RVF (35.5%) was detected in the resistant as opposed to the treatable groups. This increase suggests a uterine factor, i.e., the IUD itself.
    [Abstract] [Full Text] [Related] [New Search]