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GyneFix: a UK experience
B E Geyoushi1, S Randall, R W Stones
1Department of Obstetrics and Gynaecology, Princess Anne Hospital, University of Southampton, UK.
Summary
This study reviewed GyneFix intrauterine device insertions in the UK, finding it effective with low complication rates. Further large-scale research is recommended to confirm its benefits and drawbacks.
Area of Science:
- Reproductive Health
- Contraception
- Medical Device Evaluation
Background:
- The GyneFix intrauterine implant is a contraceptive device used in family planning.
- Understanding user and provider experiences is crucial for assessing contraceptive methods.
Purpose of the Study:
- To evaluate the clinical experience with the GyneFix intrauterine implant among family planning providers and clients in the UK.
- To assess the effectiveness and safety of GyneFix insertions.
Main Methods:
- A retrospective audit of 138 GyneFix insertions was conducted.
- Data was collected from the Ella Gordon Family Planning Unit in Portsmouth between 1997 and 1999.
Main Results:
- 134 out of 138 insertions were successful (97%).
- The device was inserted in 40% of nulliparous women.
- The removal rate was 15% (due to side-effects in 50% of removals), and the expulsion rate was 8%.
- No perforations or accidental pregnancies were reported during the study period.
Conclusions:
- The GyneFix intrauterine implant demonstrates a potentially useful role in family planning.
- The study's findings, though based on a small retrospective analysis, are comparable to other UK data.
- A large-scale prospective randomized study is needed to fully establish the benefits and disadvantages of GyneFix.