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[Use of intrauterine device by nulliparous women. Prospective study and preliminary data]
C Bastianelli1, M Farris, A Lippa
1Servizio Speciale di Piccola Chirurgia Ostetrica Ginecologica, Università degli Studi di Roma La Sapienza.
Background:
The aim of the study, that is still on the way, was to evaluate the negative effects of an intrauterine device, used for more than 2 years, on future fertility of young women who due to medical or personal reasons couldn't use hormonal contraceptives.
Methods:
A prospective study was started in 1987 in a group of 515 nulliparous healthy women (age 20-30) using an intrauterine device (Nova T, Schering, Multiload Cu 275 Organon) as contraceptive method. Two hundred and twentyfour women wished to become pregnant following the IUD extraction.
Results:
Within 12 months, 221 (98.7%) of them became pregnant demonstrating the harmlessness of the contraceptive method on future fertility. All pregnancies had a normal course, except one abortion at the 8th week of gestational age. There hadn't been pregnancies during the observation period, 25 (4.8%) women requested the IUD be removed before the end of the study because of side effects.
Discussion:
IUD did not cause a reduction in fertility or an increase in ectopic pregnancy in our group of patient.