Toggle Main Menu Toggle Search

Open Access padlockePrints

The Newcastle University research output collection, currently available on ePrints, will shortly be moving to a new open repository platform, Figshare. To prepare for the data migration we have paused adding new content to ePrints, and will resume once the new repository is launched. During this time you will continue to have access to ePrints (but no new content will appear). We will share updates here when available.

Higher discontinuation rate with a standard-sized compared to a small-sized ‘gold standard’ copper intrauterine device: a case-control review

Lookup NU author(s): Dr Diana Mansour

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.

Abstract

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.Background: T-shaped intrauterine devices (IUDs) with a copper surface area of 380 mm2 and copper bands on the transverse arms are the most effective types of copper-containing IUDs. A small-sized â € gold standard' IUD is available but there has been little research to compare the effects of this small-sized IUD to its standard-sized counterpart. Aim: To determine discontinuation rates and reasons for discontinuation at 1 year of the small-sized Mini TT380 Slimline IUD compared with the standard-sized TT380 Slimline. Methods: The clinical records of women fitted with Mini TT380 Slimline (â € mini') IUDs were compared with those of women fitted with standard-sized TT380 Slimline (â € standard') IUDs over a 3-year period (2013-2016). Results: Clinical records were available for 67 women fitted with a mini IUD (mean age 23 years, 64% nulliparous) and 63 women fitted with a standard IUD (mean age 25 years, 39% nulliparous). At 1 year, twice as many standard IUD users (32%, n=20) had discontinued their IUD use compared with mini IUD users (15%, n=10). Complaints of pain and bleeding were more than double (70%, n=14) in those women who discontinued standard IUD use compared with those who discontinued using the mini IUD (30%, n=3). These differences were statistically significant and were unrelated to parity. Conclusions: More women using a standard-sized â € gold standard' IUD rather than its smaller counterpart complained of pain and bleeding, leading to higher discontinuation at 1 year. More research on the association between size and discontinuation of these IUDs is needed.

Publication metadata

Author(s): Akintomide H, Barnes P, Brima N, Mansour D

Publication type: Article

Publication status: Published

Journal: BMJ Sexual and Reproductive Health

Year: 2019

Online publication date: 04/09/2019

Acceptance date: 21/07/2019

ISSN (print): 2515-1991

ISSN (electronic): 2515-2009

Publisher: BMJ Publishing Group

URL: https://doi.org/10.1136/bmjsrh-2018-200296

DOI: 10.1136/bmjsrh-2018-200296

PubMed id: 31484662

Altmetrics

Altmetrics provided by Altmetric

Share