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Updated: Mar 24, 2026

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Published on: October 3, 2025
Intrauterine systems: a frameless future?
Dirk Wildemeersch1, Norman D Goldstuck2, Thomas Hasskamp3
1a Gynecological Outpatient Clinic and IUD Training Center , Ghent , Belgium.
Frameless intrauterine devices (IUDs) offer improved comfort and reduced side effects for young women. These devices can minimize abnormal bleeding and pain, potentially increasing continuation rates for effective pregnancy prevention.
Area of Science:
- Contraception
- Gynecology
- Reproductive Health
Background:
- Intrauterine devices (IUDs) are a key method for preventing unintended pregnancies.
- Framed IUDs have limitations that can affect patient comfort and continuation rates.
Purpose of the Study:
- To evaluate the role of frameless IUDs in young women.
- To explore methods for minimizing side effects and improving patient experience with IUDs.
- To enhance continuation rates of IUD use for pregnancy prevention.
Main Methods:
- Expert opinion review.
- Analysis of frameless IUD suitability for diverse uterine anatomies.
- Assessment of potential benefits compared to framed IUDs.
Main Results:
- Frameless IUDs are adaptable to various uterine sizes and shapes.
- These devices show potential to reduce abnormal bleeding, pain, embedment, and expulsion.
- Higher continuation rates are anticipated with frameless IUDs.
Conclusions:
- Frameless IUDs offer a promising alternative for contraception.
- They may improve patient comfort and adherence, leading to better pregnancy prevention outcomes.
- Adaptability and reduced side effects position frameless IUDs as a valuable option.
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