Do intrauterine device/intrauterine system users check their threads?

Area of Science:

• Reproductive Health
• Contraception
• Patient Adherence

Background:

• Intrauterine devices (IUDs) are common contraceptives, but expulsion can occur unnoticed.
• Current guidelines advise users to regularly check for IUD threads to ensure placement.
• This study investigates user practices and perceptions regarding IUD thread checking.

Purpose of the Study:

• To assess the frequency and reasons behind IUD thread checking among users.
• To evaluate user adherence to IUD thread checking recommendations.
• To inform future guidance on IUD management and user education.

Main Methods:

• A survey of 100 consecutive intrauterine device users.
• Data collected on device type, duration of use, checking frequency, prompts, and reasons for non-checking.

Main Results:

• Only 23% of users reported regular thread checking.
• A significant 51% had never checked their IUD threads.
• Forgetting was the most frequently cited reason for not checking.

Conclusions:

• The majority of IUD users do not adhere to recommended thread checking practices.
• Current advice on thread checking may require re-evaluation due to low adherence.
• Checking IUD threads may be better positioned as a reassurance measure rather than a primary safety check.