Influence of removal of intrauterine contraceptive devices on colonisation of the cervix by actinomyces-like organisms
Mao, K.; Guillebaud, J.
Contraception 30(6): 535-544
1984
ISSN/ISBN: 0010-7824 PMID: 6529911 Document Number: 562839
An overall prevalence rate of actinomyces-like organisms (ALO) in cervical smears from intrauterine contraceptive device (IUCD) users of 3% (79/2734) was found, with a rate of 2% and 22.6% for Cu and inert IUCD users. Although the users of the inert IUCD were older, and their devices had been in situ longer, these factors did not account for the significant difference between the 2 types of IUCD. Fifty-five patients were counseled and given a leaflet on ALO. Fourteen IUCD users with ALO-positive smears who had their devices removed had mild or moderate pelvic pain or discharge. Six others who were asymptomatic had the IUCD removed at their own request. All 55 patients were re-examined 6 mo. to 1 yr later and a smear was repeated. Only 1 woman required later removal of the IUCD because of dyspareunia with pelvic tenderness. After removal of the IUCD, and without antibiotic therapy, in 100% (20/20) of the women, ALO colonization was no longer found 6-12 mo. later. This applied even to 7 women who had a new Cu IUCD inserted immediately after removal of the index device.