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Clinical experiences with intrauterine devices inserted with and without tail
Summary
Removing IUD tailstrings may lower infection risk. Studies show intrauterine devices (IUDs) inserted without tailstrings had a lower rate of pelvic inflammatory disease (PID) compared to those with tails.
Area of Science:
- Reproductive health
- Medical devices
- Infectious disease prevention
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- The presence of IUD tailstrings has been questioned for potential infection risks.
Purpose of the Study:
- To investigate the association between IUD tailstrings and the incidence of pelvic inflammatory disease (PID).
Main Methods:
- Comparison of Nova T and TCu 200 Ag IUDs inserted with and without tailstrings.
- Analysis of five-year gross cumulative termination rates for infection.
Main Results:
- The infection rate was 3.7% in the group with IUD tailstrings.
- The infection rate was 1.3% in the group without IUD tailstrings.
Conclusions:
- Insertion of IUDs without tailstrings is associated with a reduced risk of genital infections.
- Tailstring removal may be a strategy to decrease PID risk in IUD users.