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Intrauterine Device

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41. Naproxen Sodium for Pain Control With Intrauterine Device Insertion: A Randomized Controlled Trial. (PubMed)

Naproxen Sodium for Pain Control With Intrauterine Device Insertion: A Randomized Controlled Trial. 28538475 2018 07 16 2018 12 02 1873-233X 129 6 2017 06 Obstetrics and gynecology Obstet Gynecol Naproxen Sodium for Pain Control With Intrauterine Device Insertion: A Randomized Controlled Trial. 1135-1136 10.1097/AOG.0000000000002078 Creinin Mitchell D MD University of California, Davis, California. eng Journal Article Comment United States Obstet Gynecol 0401101 0029-7844 57Y76R9ATQ Naproxen (...) AIM IM Obstet Gynecol. 2016 Dec;128(6):1306-1313 27824753 Obstet Gynecol. 2017 Jun;129(6):1136 28538476 Double-Blind Method Humans Intrauterine Devices Naproxen Pain Pain Management 2017 5 25 6 0 2017 5 26 6 0 2018 7 17 6 0 ppublish 28538475 10.1097/AOG.0000000000002078 00006250-201706000-00029

2018 Obstetrics and Gynecology

42. Different analgesics prior to intrauterine device insertion: is there any evidence of efficacy? (PubMed)

Different analgesics prior to intrauterine device insertion: is there any evidence of efficacy? The aims of this study were to compare three different interventions to reduce pain related to insertion of the intrauterine device (IUD), namely, lidocaine, misoprostol and a non-steroidal anti-inflammatory drug, against a placebo, and to assess the advantages of one drug over another, if any.This was an open-label randomised placebo-controlled trial of 200 women assigned to receive one (...) participants in each group). All characteristics were similar between the groups. The mean pain scores recorded during speculum placement, tenaculum application, uterine sounding, IUD insertion and 15 min after insertion were similar among the four groups (p > .05). Adjuvant methods to facilitate insertion, insertion failure or device expulsion were similar between the groups (p > .05). Complications were reported in 17 participants (8.5%); all resolved spontaneously with no further management (p > .05

2018 The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

43. Lidocaine for pain control during intrauterine device insertion. (PubMed)

Lidocaine for pain control during intrauterine device insertion. The aim of this study was to compare the effects of topical lidocaine spray, cream and injection on pain perception during intrauterine device (IUD) insertion.Multiparous women of reproductive age were randomized into control, lidocaine cream, spray and injection groups. A 10 cm visual analog scale was used for all patients to evaluate pain during the three steps of the IUD insertion procedure. Baseline pain assessment was made

2018 The journal of obstetrics and gynaecology research

44. Hysteroscopic removal of intrauterine devices in pregnancy. (PubMed)

Hysteroscopic removal of intrauterine devices in pregnancy. To introduce and demonstrate an approach to the hysteroscopic removal of retained intrauterine devices (IUDs) in pregnancy. Pregnancy risks associated with retained IUDs are also discussed, specifically spontaneous abortion and preterm labor.A step-by-step explanation of the procedure with surgical video footage.Academic medical center.We present four patients undergoing hysteroscopic removal of IUDs in pregnancy. All patients have

2018 Fertility and Sterility

45. Use of Copper Intrauterine Device in Transgender Male Adolescents. (PubMed)

Use of Copper Intrauterine Device in Transgender Male Adolescents. Transgender men need contraception if engaging in intercourse with a cis-gender male partner. The copper IUD is an effective, non-hormonal contraceptive well suited for trans-males even while utilizing gender affirming hormone therapy. A gender-neutral medical facility with well-trained and sensitive staff is the ideal setting to provide such contraceptive care.Copyright © 2018. Published by Elsevier Inc.

2018 Contraception

46. Recent Intrauterine device use and the risk of precancerous cervical lesions and cervical cancer. (PubMed)

Recent Intrauterine device use and the risk of precancerous cervical lesions and cervical cancer. Understanding the effect of contraceptives on the development of precancerous lesions of the cervix and cervical cancer may provide information that is valuable to women in contraceptive decision-making. The purpose of this study was to evaluate the association between recent intrauterine device (IUD) use (by type) and cervical intraepithelial neoplasia 2, 3, adenocarcinoma in situ or cancer (CIN2

2018 Contraception

47. Impact of training level on Postplacental Levonorgestrel 52mg intrauterine device expulsion. (PubMed)

Impact of training level on Postplacental Levonorgestrel 52mg intrauterine device expulsion. To determine the association between provider training level and postplacental intrauterine device (IUD) outcomes following insertion instruction by email only.We conducted a single-center chart review of demographics, insertion and clinical outcomes within 6 months of delivery for 116 patients who underwent postplacental levonorgestrel 52 mg IUD placement from October 1, 2016, to March 31, 2017.We

2018 Contraception

48. Intraoperative ultrasound assistance for the surgical removal of lost intrauterine device. (PubMed)

Intraoperative ultrasound assistance for the surgical removal of lost intrauterine device. A 45-year woman, carrying an IUD for 2 years, was referred to our emergency unit for pelvic pain and bleeding. At vaginal examination, the strings of the IUD were not identified. Laboratory parameters were unremarkable. The abdominal radiography documented the presence of IUD in the abdominal cavity (FIG.1). During laparoscopy, the surgeon was unable to localize the IUD and an intraoperative ultrasound

2018 Ultrasound in Obstetrics and Gynecology

49. Effect of a novel copper-containing intrauterine device material on the endometrial environment in rabbits. (PubMed)

Effect of a novel copper-containing intrauterine device material on the endometrial environment in rabbits. This study aimed to determine whether intrauterine placement of a novel composite material [copper (Cu) microparticles, low-density polyethylene, and methyl vinyl silicone rubber (Cu/LDPE/MVQ)] could prevent pregnancy in rabbits, and to evaluate the effects of Cu/LDPE/MVQ on the endometrial environment.Eighty sexually mature female rabbits were randomly divided into four groups (n=20 each (...) Cu-containing intrauterine device material exhibits a similar effect in prevention of pregnancy with bare copper, and lower levels of inflammatory markers.This study demonstrates the potential of the novel Cu/LDPE/MVQ microcomposite material as a future substitute for conventional intrauterine device materials.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Contraception

50. Intrauterine Device Insertion Before and After Mandated Health Care Coverage: The Importance of Baseline Costs. (PubMed)

Intrauterine Device Insertion Before and After Mandated Health Care Coverage: The Importance of Baseline Costs. To evaluate changes in out-of-pocket cost for intrauterine device (IUD) placement before and after mandated coverage of contraceptive services and to examine how changes in out-of-pocket cost influence IUD insertion as a function of baseline cost.We conducted a cross-sectional pre-post analysis at the plan level using a large deidentified medical claims database to analyze our primary

2018 Obstetrics and Gynecology

51. Six-month expulsion of postplacental copper intrauterine devices placed after vaginal delivery. (PubMed)

Six-month expulsion of postplacental copper intrauterine devices placed after vaginal delivery. Immediate placement of an intrauterine device after vaginal delivery is safe and convenient, but longitudinal data describing clinical outcomes have been limited.We sought to determine the proportion of TCu380A (copper) intrauterine devices expelled, partially expelled, malpositioned, and retained, as well as contraceptive use by 6 months postpartum, and determine risk factors for expulsion (...) and partial expulsion.In this prospective, observational study, women who received a postplacental TCu380A intrauterine device at vaginal delivery were enrolled postpartum. Participants returned for clinical follow-up at 6 weeks, and for a research visit with a pelvic exam and ultrasound at 6 months. We recorded intrauterine device outcomes and 6-month contraceptive use. Partial expulsion was defined as an intrauterine device protruding from the external cervical os, or a transvaginal ultrasound showing

2018 American Journal of Obstetrics and Gynecology

52. Impact of the levonorgestrel-releasing intrauterine device on controlled ovarian stimulation outcomes. (PubMed)

Impact of the levonorgestrel-releasing intrauterine device on controlled ovarian stimulation outcomes. To report differences in ovarian stimulation outcomes in women using a levonorgestrel-releasing intrauterine device (LNG-IUD).Retrospective cohort study.University-based infertility practice.Female patients pursuing either social oocyte cryopreservation or oocyte donation.Chart review of all female patients presenting from January 1, 2012, to June 30, 2017, for social oocyte cryopreservation

2018 Fertility and Sterility

53. Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. (PubMed)

Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female (...) patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically.Sigmoid colon translocation of an intrauterine device.To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD.The translocated IUD was removed easily by surgery, and the patient recovered soon

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2018 Medicine

54. Self-Administered Lidocaine Gel for Intrauterine Device Insertion in Nulliparous Women: A Randomized Controlled Trial (PubMed)

Self-Administered Lidocaine Gel for Intrauterine Device Insertion in Nulliparous Women: A Randomized Controlled Trial To evaluate self-administration of vaginal lidocaine gel to decrease pain with intrauterine device (IUD) insertion in nulliparous women.In this randomized, double-blind, placebo-controlled trial, women self-administered 2% lidocaine or placebo vaginal gel 5 minutes before IUD insertion. The primary outcome was change in pain from baseline to IUD insertion on a 100-mm visual

2016 EvidenceUpdates

55. Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial. (PubMed)

Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial. US unintended pregnancy rates remain high, and contraceptive providers are not universally trained to offer intrauterine devices and implants to women who wish to use these methods.We sought to measure the impact of a provider training intervention on integration of intrauterine devices and implants into contraceptive care.We measured the impact of a continuing medical (...) education-accredited provider training intervention on provider attitudes, knowledge, and practices in a cluster randomized trial in 40 US health centers from 2011 through 2013. Twenty clinics were randomly assigned to the intervention arm; 20 offered routine care. Clinic staff participated in baseline and 1-year surveys assessing intrauterine device and implant knowledge, attitudes, and practices. We used a difference-in-differences approach to compare changes that occurred in the intervention sites

2018 American Journal of Obstetrics and Gynecology

56. Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women. (PubMed)

Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women. The object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound.This is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study

2018 Contraception

57. Colonoscopic Removal of an Intrauterine Device That Had Perforated the Rectosigmoid Colon (PubMed)

Colonoscopic Removal of an Intrauterine Device That Had Perforated the Rectosigmoid Colon The intrauterine device (IUD) is a widely used contraceptive method. One of the most serious and rare complications of using an IUD is colon perforation. We report a case of colonoscopic removal of an IUD that had perforated into the rectosigmoid colon in a 42-year-old woman who presented with no symptoms. Colonoscopy showed that the IUD had penetrated into rectosigmoid colon wall and that an arm

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2018 Annals of coloproctology

58. Postpartum intrauterine device placement: a patient-friendly option (PubMed)

Postpartum intrauterine device placement: a patient-friendly option Women in the United States are increasingly choosing an intrauterine device (IUD) for contraception. Since the postpartum period is an important time to consider a patient's need for contraception, offering postpartum IUD placement is considered best practice. Effective implementation of postpartum IUD placement occurs within a context of shared decision making wherein patients are given full information about all options

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2018 Contraception and Reproductive Medicine

59. Dimensional analysis of the endometrial cavity: how many dimensions should the ideal intrauterine device or system have? (PubMed)

Dimensional analysis of the endometrial cavity: how many dimensions should the ideal intrauterine device or system have? The geometrical shape of the human uterus most closely approximates that of a prolate ellipsoid. The endometrial cavity itself is more likely to also have the shape of a prolate ellipsoid especially when the extension of the cervix is omitted. Using this information and known endometrial cavity volumes and lateral and vertical dimensions, it is possible to calculate (...) and breadth measurements indicate that the AP diameter may vary from 6.29 to 38.2 mm. These measurements confirm the difficulty of getting a fixed-frame intrauterine device (IUD) to accommodate to a space of highly variable dimensions. This is especially true of three-dimension IUDs. A one-dimensional frameless IUD is most likely to be able to conform to this highly variable space and shape.The endometrial cavity may assume many varied prolate ellipsoid configurations where one or more measurements may

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2018 International journal of women's health

60. Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs) (PubMed)

Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs) Intrauterine devices (IUDs) are the most popular form of contraception used worldwide; however, IUD is not risk-free. IUD migrations, especially uterine perforations, were frequently occurred in patients. The aim of this study was to investigate the clinical characteristics and intraoperative findings in patients with migrated IUDs.29 cases of uterine perforation (...) groups. Majority of contraceptive intrauterine devices was the copper-releasing IUDs. Furthermore, patients who used V-shaped IUD showed significantly higher incidence of pelvic adhesions when compared with the users of O-shaped IUDs.Unique clinical characteristics of IUD migration were identified in patients with uterine perforation. Hysteroscopy and/or laparoscopy were the effective approaches to remove the migrated IUDs. Improving operating skills is required at the lower level of health care

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2018 Gynecological surgery

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