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Related Experiment Videos

IUD insertion following induced abortion.

L Querido, E Ketting, A A Haspels

    Contraception
    |June 1, 1985
    PubMed
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    Intrauterine devices (IUDs) inserted immediately after abortion may cause more intense pain and prolonged bleeding compared to oral contraception. However, IUDs did not increase the risk of pelvic inflammatory disease (PID).

    Area of Science:

    • Reproductive Health
    • Gynecology
    • Medical Devices

    Background:

    • Post-abortion care often involves contraception counseling and initiation.
    • Intrauterine devices (IUDs) are a long-acting reversible contraception option.
    • Immediate post-abortion IUD insertion is a strategy to improve contraceptive uptake.

    Purpose of the Study:

    • To compare the outcomes of immediate post-abortion IUD insertion versus oral contraception initiation.
    • To evaluate the safety and efficacy of two types of IUDs (Nova T and Multiload 250) when inserted after abortion.

    Main Methods:

    • A multicenter survey comparing women receiving an IUD immediately after abortion with those starting oral contraception.
    • Follow-up data collected at 6 weeks post-abortion.
    Keywords:
    Bacterial And Fungal DiseasesBiologyBleedingComparative StudiesContraceptionContraception TerminationContraceptive AgentsContraceptive Agents, FemaleContraceptive MethodsContraceptive Methods--side effectsDeveloped CountriesDiseasesEuropeEvaluationExaminations And DiagnosesFamily PlanningGenital Effects, FemaleGenitaliaGenitalia, FemaleInfectionsIud, Copper ReleasingIud, UnmedicatedIud--side effectsMenstruation DisordersNetherlandsOral ContraceptivesPainPelvic InfectionsPhysiologyPostabortionReproductionResearch MethodologySigns And SymptomsStudiesUrogenital EffectsUrogenital SystemWestern Europe

    Related Experiment Videos

  • Specific comparison between Nova T and Multiload 250 IUDs.

    • Main Results:

    • IUD users experienced more intense and longer-lasting pain post-abortion compared to controls.
    • While less frequent initially, bleeding was longer in IUD users if it occurred.
    • The first menstrual period post-abortion was heavier and more painful for IUD users.
    • IUD expulsion occurred in 3.3% of cases, exclusively with the Nova T.
    • No increased risk of pelvic inflammatory disease (PID) was observed in IUD users.

    Conclusions:

    • Immediate post-abortion IUD insertion is associated with increased pain intensity and duration, and heavier, more painful menses.
    • The Multiload 250 IUD demonstrated a lower expulsion rate than the Nova T.
    • Current evidence does not support an elevated risk of PID with post-abortion IUD use.