Intrauterine contraception complicated by inflammations (proceedings)
Citterbart, K.; Kratochvíl, B.
Ceskoslovenska Gynekologie 43(7): 530-531
1978
ISSN/ISBN: 0374-6852 PMID: 679315 Document Number: 127859
All the cases of inflammation complicating intrauterine contraception seen in a Prague clinic were studied in order to gain insight into the prevention and treatment of the condition. 2229 women were seen in the OB/GYN clinic. 1238 had an IUD, 462 were on hormonal contraceptives and formed the control group, and 524 were excluded from the study because they did not fit the study protocol. Inflammation occurred in 2.66% (33) of the women with IUDs and in 2.35% (11) of the control group. An analysis of the causes of inflammation revealed the following facts: at the average age of 28.5 (20-41) there is no difference in fertility or in work days lost between IUD users and the controls. Single or repeated IUD insertion does not figure in the incidence of inflammation. The proportion of IUDS with strings and without strings in those women who have inflammation is the same as in the general population. The onset of inflammation is most frequent at 3-6 months after insertion, but this difference may not be significant. Vaginitis with discharge, dominates the clinical picture in 85% of the IUD users with inflammation. Histological studied on 15 of these 33 women revealed endometritis. The risk of inflammation is correlated with increasing number of sexual partners. However, with proper medical care, inflammatory processes can be detected and arrested early.