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Higher discontinuation rate with a standard-sized compared to a small-sized ‘gold standard’ copper intrauterine device: a case-control review

Lookup NU author(s): Dr Diana Mansour

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Abstract

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.Background: T-shaped intrauterine devices (IUDs) with a copper surface area of 380 mm2 and copper bands on the transverse arms are the most effective types of copper-containing IUDs. A small-sized â € gold standard' IUD is available but there has been little research to compare the effects of this small-sized IUD to its standard-sized counterpart. Aim: To determine discontinuation rates and reasons for discontinuation at 1 year of the small-sized Mini TT380 Slimline IUD compared with the standard-sized TT380 Slimline. Methods: The clinical records of women fitted with Mini TT380 Slimline (â € mini') IUDs were compared with those of women fitted with standard-sized TT380 Slimline (â € standard') IUDs over a 3-year period (2013-2016). Results: Clinical records were available for 67 women fitted with a mini IUD (mean age 23 years, 64% nulliparous) and 63 women fitted with a standard IUD (mean age 25 years, 39% nulliparous). At 1 year, twice as many standard IUD users (32%, n=20) had discontinued their IUD use compared with mini IUD users (15%, n=10). Complaints of pain and bleeding were more than double (70%, n=14) in those women who discontinued standard IUD use compared with those who discontinued using the mini IUD (30%, n=3). These differences were statistically significant and were unrelated to parity. Conclusions: More women using a standard-sized â € gold standard' IUD rather than its smaller counterpart complained of pain and bleeding, leading to higher discontinuation at 1 year. More research on the association between size and discontinuation of these IUDs is needed.


Publication metadata

Author(s): Akintomide H, Barnes P, Brima N, Mansour D

Publication type: Article

Publication status: Published

Journal: BMJ Sexual and Reproductive Health

Year: 2019

Online publication date: 04/09/2019

Acceptance date: 21/07/2019

ISSN (print): 2515-1991

ISSN (electronic): 2515-2009

Publisher: BMJ Publishing Group

URL: https://doi.org/10.1136/bmjsrh-2018-200296

DOI: 10.1136/bmjsrh-2018-200296

PubMed id: 31484662


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