[Long term experience with the IUD copper-T-200 (author's transl)]

Area of Science:

• Reproductive Health
• Medical Device Efficacy
• Clinical Practice

Context:

• Evaluated Copper-T-200 intrauterine device (IUD) performance over seven years in a university hospital setting.
• Compared outcomes between a heterogeneous ambulatory care group and a homogenous private practice group.
• Assessed the impact of physician experience on IUD insertion and patient management.

Purpose:

• To determine pregnancy, expulsion, and extraction rates for the Copper-T-200 IUD.
• To compare the efficacy and safety of the Copper-T-200 IUD between different patient populations and clinical settings.
• To investigate the influence of physician experience on IUD-related outcomes.

Summary:

• Pregnancy rates (Pearl Index) were 1.0 for the ambulatory group and 0.24 for the private practice group.
• Expulsion rates were 0.8% and 0.2% for the respective groups.
• Extraction rates due to side effects were significantly higher (4.4%) in the ambulatory group compared to the private practice group (1.6%).

Impact:

• Physician experience appears crucial for optimizing Copper-T-200 IUD patient care.
• Experienced clinicians may reduce adverse events and improve overall IUD effectiveness.
• Findings suggest a need for standardized training and supervision in IUD insertion and management.