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  • Title: Study of side-effects of Cu-T as intra-uterine contraceptive device in post medical termination of pregnancy and interval cases.
    Author: Das CR, Pradhan G.
    Journal: J Indian Med Assoc; 1995 Oct; 93(10):375-6. PubMed ID: 9053409.
    Abstract:
    Follow-up study of 60 cases (group B) of post medical termination of pregnancy Cu-T insertion and 100 cases (group A) of interval Cu-T insertion revealed that menstrual complaints like dysmenorrhoea and menorrhagia were more prevalent in the 1st 3 months. These were more frequently found in group B cases. After one year the incidence reduced to almost nil in both the groups. Pain in lower abdomen and backache, a more frequent complaint in group B in 1st 3 months were also reduced remarkably after one year. Two expulsions in group B and one expulsion in group A had occurred during the 1st 3 postinsertion cycles along with menstrual flow. Failure has occurred in only one case in group B. For some reason or other Cu-T was removed in 11 cases in group A and 5 cases in group B. Desire for another pregnancy was the prime cause of removal of Cu-T in group A and along with this cause menstrual trouble was equally responsible for its removal in group B cases. There was no case of perforation, displacement or ectopic pregnancy reported in the present study, though for a short period. A 12-month comparative study conducted at a medical center in Burla, India, failed to detect significant differences in side effects between 60 women who had a Copper-T 200 IUD inserted after induced abortion and 100 women with interval IUD insertion. Most insertions involved women in the 21-30 year age group. Menorrhagia was reported by 8% of women in the postabortion insertion group and 8.5% of those in the interval insertion group after 1 month and by 5% and 10%, respectively, after 3 months; its incidence was negligible thereafter. Dysmenorrhea was experienced by 20% of postabortion insertion cases and 7% of interval cases at 1 month and by 15% and 7%, respectively, at 3 months, at which point it, too, decreased. Women with postabortion IUD insertion reported more lower abdominal pain and back ache in the first 3 months, presumably because of the operative trauma and chance of pelvic inflammation. Expulsion occurred in 2 women in the postabortion insertion group and in 1 woman in the interval group. The single pregnancy reported during the study period involved a woman from the postabortion insertion group (1.6%). The removal rate was 8.3% in the postabortion group and 11% in the interval group; requests were due to a desire for pregnancy or discomfort with menstruation disturbances. These findings refute the commonly held belief that postabortal IUD insertion is associated with an increased risk of infection, spontaneous expulsion, and unacceptable menstrual disturbances.
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