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Related Experiment Videos

Ectopic pregnancy among past IUD users.

L Randić1, H Haller

  • 1Department of Obstetrics and Gynecology, University Hospital of Rijeka, Croatia.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|August 1, 1992
PubMed
Summary
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Former IUD users have a low risk of ectopic pregnancy. This study found that women who had an intrauterine device (IUD) removed for planned pregnancy had similar conception rates and lower ectopic pregnancy rates compared to the general population.

Area of Science:

  • Reproductive Health
  • Gynecology
  • Obstetrics

Background:

  • Intrauterine devices (IUDs) are a common form of contraception.
  • Concerns exist regarding the risk of ectopic pregnancy after IUD removal.
  • Understanding fertility return and pregnancy outcomes post-IUD is crucial for family planning.

Purpose of the Study:

  • To investigate the relationship between IUD removal for planned pregnancy and subsequent fertility.
  • To determine the pregnancy outcome, specifically the rate of ectopic pregnancy, in former IUD users.
  • To compare the incidence of ectopic pregnancy in former IUD users with the general population.

Main Methods:

  • A cohort study of women with IUD removal for planned pregnancy (n=748).
  • Analysis of cumulative conception rates and pregnancy outcomes (intrauterine vs. ectopic).

Related Experiment Videos

  • Comparison of ectopic pregnancy rates with general population data using various denominators (women, deliveries, pregnancies).

    • Main Results:

    • The cumulative conception rate after 5 years was 93.7% (93.4% intrauterine, 0.3% ectopic).
    • Ectopic pregnancy rates in former IUD users were lower than in the general population, reaching statistical significance when using deliveries as the denominator (P < 0.05).
    • Ectopic pregnancy incidence was also lower in other former IUD user groups compared to controls, except for those with removals due to bleeding/pain and pelvic inflammatory disease (PID).

    Conclusions:

    • Former IUD users are not at an increased risk of ectopic pregnancy.
    • IUD removal for planned pregnancy is associated with high conception rates and favorable pregnancy outcomes.
    • The study supports the safety of IUD use concerning ectopic pregnancy risk.