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Intrauterine device insertion after medical abortion
Sarah J Betstadt1, David K Turok, Nathalie Kapp
1Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
Contraception
|May 17, 2011
Summary
Immediate insertion of intrauterine devices (IUDs) after medical abortion is effective. This method shows low expulsion rates, making it a convenient option for women seeking contraception.
Area of Science:
- Reproductive Health
- Contraception
- Medical Abortion
Background:
- Immediate IUD insertion post-abortion is comparable to interval insertion in efficacy and expulsion.
- Interval IUD insertion leads to lower return rates for device placement.
- Immediate IUD insertion after medical abortion verification is a potential optimal timing.
Purpose of the Study:
- To determine the expulsion rates of intrauterine contraception placed immediately after confirmed, completed first-trimester medical abortion.
Main Methods:
- Prospective, observational clinical study.
- 118 subjects included, with 78 receiving levonorgestrel IUDs and 41 receiving copper IUDs.
- Follow-up for 3 months post-insertion.
Main Results:
- 4 clinical expulsions (4.1%) occurred among 97 subjects who completed the study within 3 months.
- No cases of pelvic infection, pregnancy, or uterine perforation were reported.
- Continuation rate at 3 months was 80%.
Conclusions:
- Intrauterine devices inserted immediately after confirmed, completed first-trimester medical abortion demonstrate low expulsion rates.
- This timing offers a safe and effective contraceptive option.
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