PMID: 10095972Mar 30, 1999Paper

Can intrauterine device removals for bleeding or pain be predicted at a one-month follow-up visit? A multivariate analysis

Contraception
J Stanback, David A Grimes

Abstract

From 4%-14% of intrauterine device (IUD) users have their IUD removed due to bleeding or pelvic pain in the first year of use. Past studies have analyzed whether baseline patient information can help predict such removals, but no previous analysis has examined whether information provided at the recommended 1-month follow-up visit could improve such predictions. Using data from an international multicenter randomized controlled trial, 89 women with removals for bleeding and pain after the 1-month visit were compared with 2536 continuing users. Logistic regression indicated several significant predictors of removal. Women reporting intermenstrual bleeding since last menses were nearly three times more likely to have removals for bleeding or pain (odds ratio [OR] 2.9; 95% confidence interval [CI] 1.4-5.9). Similarly, those complaining of excessive menstrual flow were 3.5 times more likely to have removals within 12 months (95% CI 1.4-9.2). Women reporting these menstrual problems during scheduled revisits may benefit from counseling and treatment with nonsteroidal anti-inflammatory drugs (NSAID).

References

Jan 1, 1978·British Journal of Obstetrics and Gynaecology·J GuillebaudA C Turnbull
Jan 1, 1981·Obstetrics and Gynecology·A J DaviesA C Turnbull

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Citations

Jul 16, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·M GueyeA Diouf
Nov 6, 2007·Clinical Obstetrics and Gynecology·Camaryn ChrismanVanessa K Dalton
May 16, 2009·Contraception·Elizabeth I Deans, David A Grimes
Sep 15, 2015·Contraception·Karla MaguireAnne R Davis
Sep 29, 2007·Contraception·Caroline MoreauJames Trussell
Jul 29, 2006·Journal of Pediatric and Adolescent Gynecology·Alina Toma, Mary Anne Jamieson
Jul 17, 2016·Contraception·Erin N Berry-BibeeKathryn M Curtis
Aug 30, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Salah M Rasheed, Allam M Abdelmonem
Apr 1, 2005·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·S Salhan, V Tripathi
Nov 26, 2008·Biomedical Materials·Bianmei CaoYudong Zheng

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