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  • Title: The use of a modified copper intrauterine device in nulliparous women with small uterine axial length.
    Author: Goldstuck ND.
    Journal: J Reprod Med; 1980 Oct; 25(4):183-6. PubMed ID: 7431367.
    Abstract:
    In a preliminary study a highly selected group of 31 nulliparous patients with uterine axial length less than 6 cm underwent 32 insertions of a modified Gravigard device with reduced vertical and horizontal arms. After at least six months of use 26 patients (81%) continued to use this method of contraception. The six patients who discontinued are accounted for as follows: one became pregnant, two expelled the device, two requested removal of their devices because of pain and bleeding, and one device was removed accidentally. There was one further pregnancy at nine months of use. It is concluded that provided that the dimensions of the Gravigard are reduced, it is an acceptable method of contraception in nulliparae with small uterine axial length. A highly selected group of 31 nulliparous patients with uterine axial length less than 6 centimeters underwent 32 insertions of a modified Gravigard IUD with reduced vertical and horizontal arms in an effort to assess the performance of this copper IUD. No distinction was made between patients who had previously used a conventional device and women who had not. The insertion procedure that was used was the withdrawal method. Patient ages ranged from 15 to 36 years. 26 patients (81%) continued to use the IUD after at least 6 months. The 6 patients who discontinued use were accounted for as follows: 1 became pregnant; 2 expelled the IUD; 2 requested removal because of pain and bleeding; and 1 IUD was removed accidentally. There was 1 further pregnancy at 9 months of use. About 30% of the patients who continued to use the IUD suffered at least a minor degree of discomfort. In sum, a reduction in size of the vertical and horizontal arms of the Gravigard permits reasonable tolerability in nulliparous women with small uteri.
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