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Long-term experience with Multiload intrauterine devices.

H E van Kets1, M Thiery, H van der Pas

  • 1Department of Obstetrics, University Hospital, Gent, Belgium.

Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
|September 1, 1989
PubMed
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This study on Multiload (ML) Intrauterine Devices (IUDs) found serious complications were rare, with a high continuation rate. Fertility returned to normal after removal, demonstrating the safety and reversibility of these IUDs.

Area of Science:

  • Reproductive Health
  • Contraception
  • Gynecology

Background:

  • Intrauterine Devices (IUDs) are a common form of reversible contraception.
  • Multiload (ML) IUDs are a specific type of IUD used globally.
  • Assessing the safety and efficacy of IUDs is crucial for reproductive health management.

Purpose of the Study:

  • To analyze IUD-related complications associated with Multiload (ML) IUD usage.
  • To evaluate the continuation rates and user experience with different types of ML IUDs.
  • To assess the reversibility of fertility following the removal of ML IUDs.

Main Methods:

  • Prospective study involving 1987 consecutive insertions of three Multiload (ML) IUD types (MLCu250 Short, MLCu250 Standard, MLCu375).
  • Accumulation of 56,005 woman-months of usage data.

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  • Life-table analysis complemented by case-by-case investigation of complications and fertility return.

    • Main Results:

    • Serious IUD-related complications were found to be rare.
    • High continuation rates were observed across the studied ML IUD types.
    • Fertility was unaffected by the IUDs, with normal return of fertility after removal for pregnancy planning.

    Conclusions:

    • Multiload (ML) IUDs demonstrate a favorable safety profile with infrequent serious complications.
    • The high continuation rates suggest good user acceptance and tolerability.
    • ML IUDs are a reversible contraceptive option that does not impair future fertility.