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Intrauterine device and pelvic inflammatory disease
International Journal of Fertility
|January 1, 1978
Summary
This study found no increased risk of pelvic inflammatory disease (PID) associated with intrauterine device (IUD) use. However, previous induced abortions and pelvic surgeries were linked to a higher incidence of PID.
Area of Science:
- Reproductive Health
- Infectious Diseases
Background:
- Pelvic inflammatory disease (PID) is a significant reproductive health concern.
- The role of intrauterine devices (IUDs) in PID etiology requires ongoing investigation.
Purpose of the Study:
- To investigate the association between intrauterine device (IUD) usage and the risk of developing acute pelvic inflammatory disease (PID).
- To identify other potential risk factors for PID, including previous induced abortions and abdominal/pelvic surgeries.
Main Methods:
- A retrospective case-control study involving 101 women with a first episode of acute PID and 101 matched controls.
- Data collected included IUD usage, history of induced abortions, and previous abdominal and pelvic operations.
Main Results:
- No statistically significant correlation was found between IUD usage and PID.
- A significant correlation (P < 0.01) was observed between a history of induced abortion and subsequent PID.
- A higher proportion of previous abdominal and pelvic operations was noted in the PID group compared to controls (P < 0.005).
Conclusions:
- Current IUD usage does not appear to increase the risk of pelvic inflammatory disease.
- Previous induced abortions and pelvic surgeries may be significant risk factors for developing PID.