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Two-Dimensional Sonographic-Guided Versus Non-Guided Copper T IUD Insertion.

Ibrahim A Albahlol1, Ahmed Baker A Alshaikh2, Fawaz E Edris3

  • 1Department of Obstetrics and Gynecology, College of Medicine, Jouf University, Sakaka, Kingdom of Saudi Arabia; Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

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|February 6, 2026
PubMed
Summary
This summary is machine-generated.

Real-time 2D ultrasound-guided intrauterine device (IUD) insertion significantly improves perfect placement compared to blind insertion. This method enhances client satisfaction and contraceptive efficacy.

Keywords:
2D ultrasoundIUDcopper T intrauterine device

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Area of Science:

  • Reproductive Health
  • Medical Imaging
  • Gynecology

Background:

  • Intrauterine devices (IUDs) are a widely used, effective contraceptive method.
  • Optimizing IUD insertion techniques is crucial for maximizing efficacy and client satisfaction.
  • Ultrasound guidance is increasingly explored to improve procedural accuracy.

Purpose of the Study:

  • To evaluate the effectiveness of 2D ultrasound-guided Copper T IUD insertion compared to blind insertion.
  • To assess the impact of ultrasound guidance on IUD placement accuracy and related outcomes.

Main Methods:

  • A comparative study involving 100 eligible clients divided into two groups (n=50 each).
  • Group 1: Blind IUD insertion.
  • Group 2: Real-time 2D ultrasound-guided IUD insertion.

Main Results:

  • A statistically significant difference (P=0.002) in perfect IUD insertion was observed between the groups, favoring ultrasound guidance.
  • No significant difference in IUD misplacement rates was found.
  • A trend towards a difference (P=0.056) in cervical displacement and reinsertion events was noted.

Conclusions:

  • Real-time 2D ultrasound guidance enhances the accuracy of Copper T IUD insertion.
  • This technique improves outcomes, reduces failure rates, and increases client satisfaction and contraceptive efficacy.