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Use of intrauterine devices (IUD) in nulliparous young women



Use of intrauterine devices (IUD) in nulliparous young women



Minerva Ginecologica 38(4): 291-293



The use of contraceptive methods is lower than expected and the number of voluntary abortions remains high in Italy. A substantial number of very young women do request safe contraceptives. The high risk of pelvic infections and possible sterility contraindicate the use of the IUD in nulliparae. 53 women, average age 18.4, mainly carrying smaller model, asymmetric IUDs for an average of 28.8 months, enough to verify effective tolerance, were tested. 50% had previously been pregnant and 45.2% had had voluntary abortion. Each were asked for parity, menarche, pre and postapplication menstrual characteristics, side effects and accompanying complications. Every 4 months they were given colpocytologic and urine tests, screening for coagulation, glycemia, azotemia, hepatic enzymes, etc. Results showed the IUD causing hyperpolymenorrhea (69.8%), intermenstrual spotting, pelvic algae and dysmenorrhea. In 60.5% these disturbances regressed spontaneously during the first month of insertion, whereas 5% had to have it removed. 9.4% expelled the IUD, the cause being undetermined, which is less than reported by other authors and inconsistent with the fact, that the contractive response of the uterus to a foreign device is supposed to be higher in younger nulliparae than in adult women. In one case the IUD was lost and in 1.9% the device failed. No pelvic infections occurred. It is concluded that even young nulliparae may use the IUD. The relatively good tolerance of this contraceptive seems to be determined by: an accurate selection by the patient, previous pregnancy in the anamnesis, and the use of a smaller IUDs.

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Accession: 041919676

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PMID: 3725168


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