Bleeding, cramping, and satisfaction among new copper IUD users: A prospective study

PloS One
Jessica N SandersDavid K Turok

Abstract

We assess change in bleeding, cramping, and IUD satisfaction among new copper (Cu) IUD users during the first six months of use, and evaluate the impact of bleeding and cramping on method satisfaction. We recruited 77 women ages 18-45 for this prospective longitudinal observational cohort study. Eligible women reported regular menses, had no exposure to hormonal contraception in the last three months, and desired a Cu IUD for contraception. We collected data prospectively for 180 days following IUD insertion. Monthly, participants reported bleeding scores using the validated pictorial blood loss assessment chart (PBAC), IUD satisfaction using a five-point Likert scale, and cramping using a six-level ordinal scale. We used multiple imputation to address nonrandom attrition. Structural equation models for count and ordered outcomes were used to model bleeding, cramping, and IUD satisfaction growth curves over the six monthly repeated assessments. Bleeding significantly decreased (approximately 23%) over the course of the study from an estimated PBAC = 195 at one month post-insertion to PBAC = 151 at six months (t = -2.38, p<0.05). Additionally, IUD satisfaction improved over time (t = 2.65, p<0.01), increasing from between "Neutr...Continue Reading

References

Aug 1, 1990·British Journal of Obstetrics and Gynaecology·J M HighamR W Shaw
Mar 1, 1986·British Journal of Obstetrics and Gynaecology·L Mäkäräinen, O Ylikorkala
Sep 10, 2004·Psychological Methods·Paras D MehtaBrian R Flay
May 13, 2005·International Family Planning Perspectives·Elizabeth TolleyStirling Cummings
May 29, 2007·Contraception·Catherine d'Arcangues
Apr 4, 2009·Contraception·David HubacherSola Park
Jan 13, 2011·Statistics in Medicine·Ian R WhiteAngela M Wood
Jul 17, 2012·Fertility and Sterility·Lawrence B FinerMegan L Kavanaugh
Dec 27, 2013·Contraception·Kai J BuhlingUNKNOWN INTRA Writing Group
Jul 22, 2014·American Journal of Obstetrics and Gynecology·Justin T DiedrichJeffrey F Peipert
Sep 16, 2016·American Journal of Public Health·Jenny A HigginsKristin M Ryder
Nov 25, 2016·Pakistan Journal of Medical Sciences·Ali EkizGokhan Yildirim
Jan 11, 2017·Contraception·Christine DehlendorfJody Steinauer

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Citations

Jun 7, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kathryn PeeblesUNKNOWN , MTN-020/ASPIRE study team
Dec 9, 2020·Perspectives on Sexual and Reproductive Health·M Antonia BiggsLori Freedman
Apr 16, 2021·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Mohammed K AliAhmed M A Sobh

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Methods Mentioned

BETA
contraception
PBAC

Clinical Trials Mentioned

NCT02311478

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