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The effect of the intrauterine contraceptive device on endometrial secretory function: a possible mode of action

M W Seif1, J D Aplin, H Awad

  • 1Department of Obstetrics and Gynaecology, University of Manchester, U.K.

Contraception
|July 1, 1989
PubMed

The effect of the intrauterine contraceptive device (IUD) on the composition of endometrial secretion has been studied using the monoclonal antibody D9B1. The antibody binds to a polypeptide-associated oligosaccharide epitope that is secreted by endometrial epithelium in the secretory phase with a maximum around the time of implantation. In endometria affected by the IUD in situ, a significant reduction in epitope expression has been observed using immunohistochemistry. This defect can occur against a background of normal secretory differentiation and in the expectation of normal ovarian stimulus. The data provide new insight into the contraceptive mechanisms of action of the IUD.

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