Abstract:
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Back ground : The intrauterine device ( IUCD) is used by 100
million women over the world , but its continued use is
complicated by expulsion , bleeding , pain and other complications,
the discontinuation due to bleeding is common and hence, the
importance of proper insertion and monitoring during and after
insertion .
Objectives: To reveal the role of vaginal ultrasonography
in assessment of uterine bleeding and relative
position of the device within the uterus .
Setting :Yemen Family Association Clinic , Al-Hekma
Hospital and Al-Gomhori Teaching Hospitals
and Candidates Clinic , in TAIZ
Design : A prospective case-controlled study.
Study plan : 405 Subjects using IUCD Cu-T 380, study
group of 301, and control group of 104
subjects. All of them were examined
ultrasonographically , with measurement of
5
IUCD-F,IUCD-IOand endometrial thickness.
Results : The IUCD –F distance was significantly higher
in study group than in controls , and the
reverse with IUCD-IO distance. Endometrial
thickness did not differ .
Conclusion : Proper placement of the IUCD as high up
in the endometrial cavity as possible will reduce
the occurrence of bleeding . So the insertion by
the pull-method would be more appropriate
than the push-method. Concomitant use of
methergin, to harden the uterus, will decrease
the possibly of perforation |