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  • Title: Intrauterine device and pelvic inflammatory disease.
    Author: Thaler I, Paldi E, Steiner D.
    Journal: Int J Fertil; 1978; 23(1):69-72. PubMed ID: 30713.
    Abstract:
    Using a retrospective case control design on 101 women with a first episode of acute pelvic inflammatory disease (PID), it was found that 15% were wearing an intrauterine device, as compared to 7% out of a control group of 101 women matched for age, marital status, and interval since their last pregnancy termination. No statistically significant correlation between IUD usage and PID was demonstrated. A significant correlation (P less than 0.01) between previous induced abortion and subsequent PID was found. In the PID group, a significantly higher proportion of previous abdominal and pelvic operations (P less than 0.005) was found as compared to the control group, but the numbers were small. In the absence of a higher frequency of IUD wearers among PID patients as compared with matched controls, we do not believe that there is an increased risk of pelvic inflammatory disease. A retrospective study of 101 women who were hospitalized with an initial attack of acute pelvic inflammatory disease (PID) at the Rambam Medical Center in Haifa, Israel, between 1969-1975, was conducted. A control group was chosen which matched the study group for age, marital status, and interval since last pregnancy. The women were not matched on origin or socioeconomic status. Results of the study do not indicate a higher risk of PID among IUD wearers. These results conflict with results from 4 other recent studies. This study showed significant associations between incidence of PID and previous induced abortion and previous abdominal and pelvic operations. The PID patients had an average of 2.37 pregnancies as compared to an average of only 1.61 pregnancies among the non-PID controls.
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