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Comparison of copper intrauterine device with levonorgestrel-bearing intrauterine system for post-abortion contraception.
J Obstet Gynaecol Res. 2015 Sep; 41(9):1426-32.JO

Abstract

AIM

The aim of this study was to compare the safety, bleeding pattern, effects, side-effects, complications and 6-month continuity rates of levonorgestrel-bearing intrauterine system (LNG-IUS) with conventional copper intrauterine device (Cu-IUD) inserted immediately after voluntary termination of pregnancy up to 10 weeks of gestation.

METHODS

One hundred women who underwent voluntary pregnancy termination and preferred IUD insertion as a contraceptive method after counseling were enrolled. The patients were randomly allocated to Cu-IUD or LNG-IUS and followed up at 10 days, and at 1, 3 and 6 months. The expulsion rates, continuation rates, side-effects, and bleeding patterns were compared.

RESULTS

Fifty women in the Cu-IUD group and 44 women in the LNG-IUS group were followed up. The continuity and expulsion rate for Cu-IUD and LNG-IUS at the end of 6 months was 74%, 12%, and 75%, 11.3%, respectively. In LNG-IUS users, the incidence of amenorrhea and the number of spotting days were higher and hemoglobin increased throughout the follow-up period. The side-effects related to both methods were not different from interval insertions.

CONCLUSION

Immediate post-abortion intrauterine contraception with Cu-IUD or LNG-IUS is a safe, reliable method. The incidence of side-effects is similar, and there is only a slightly higher rate of expulsion but an acceptable rate of method continuation.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Medipol University Esenler Hospital, Istanbul, Turkey.Department of Infertility and Family Planning and Adolescent Health, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey.Department of Obstetrics and Gynecology, Ankara Teaching and Research Hospital, Ankara, Turkey.Department of Obstetrics and Gynecology, Ankara Teaching and Research Hospital, Ankara, Turkey.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26180028

Citation

Bilgehan, Fatma, et al. "Comparison of Copper Intrauterine Device With Levonorgestrel-bearing Intrauterine System for Post-abortion Contraception." The Journal of Obstetrics and Gynaecology Research, vol. 41, no. 9, 2015, pp. 1426-32.
Bilgehan F, Dilbaz B, Karadag B, et al. Comparison of copper intrauterine device with levonorgestrel-bearing intrauterine system for post-abortion contraception. J Obstet Gynaecol Res. 2015;41(9):1426-32.
Bilgehan, F., Dilbaz, B., Karadag, B., & Deveci, C. D. (2015). Comparison of copper intrauterine device with levonorgestrel-bearing intrauterine system for post-abortion contraception. The Journal of Obstetrics and Gynaecology Research, 41(9), 1426-32. https://doi.org/10.1111/jog.12747
Bilgehan F, et al. Comparison of Copper Intrauterine Device With Levonorgestrel-bearing Intrauterine System for Post-abortion Contraception. J Obstet Gynaecol Res. 2015;41(9):1426-32. PubMed PMID: 26180028.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of copper intrauterine device with levonorgestrel-bearing intrauterine system for post-abortion contraception. AU - Bilgehan,Fatma, AU - Dilbaz,Berna, AU - Karadag,Burak, AU - Deveci,Canan Dura, Y1 - 2015/07/14/ PY - 2015/01/11/received PY - 2015/03/06/revised PY - 2015/03/31/accepted PY - 2015/7/17/entrez PY - 2015/7/17/pubmed PY - 2016/12/15/medline KW - copper intrauterine device KW - levonorgestrel-bearing intrauterine system KW - method continuity KW - post-abortion contraception SP - 1426 EP - 32 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 41 IS - 9 N2 - AIM: The aim of this study was to compare the safety, bleeding pattern, effects, side-effects, complications and 6-month continuity rates of levonorgestrel-bearing intrauterine system (LNG-IUS) with conventional copper intrauterine device (Cu-IUD) inserted immediately after voluntary termination of pregnancy up to 10 weeks of gestation. METHODS: One hundred women who underwent voluntary pregnancy termination and preferred IUD insertion as a contraceptive method after counseling were enrolled. The patients were randomly allocated to Cu-IUD or LNG-IUS and followed up at 10 days, and at 1, 3 and 6 months. The expulsion rates, continuation rates, side-effects, and bleeding patterns were compared. RESULTS: Fifty women in the Cu-IUD group and 44 women in the LNG-IUS group were followed up. The continuity and expulsion rate for Cu-IUD and LNG-IUS at the end of 6 months was 74%, 12%, and 75%, 11.3%, respectively. In LNG-IUS users, the incidence of amenorrhea and the number of spotting days were higher and hemoglobin increased throughout the follow-up period. The side-effects related to both methods were not different from interval insertions. CONCLUSION: Immediate post-abortion intrauterine contraception with Cu-IUD or LNG-IUS is a safe, reliable method. The incidence of side-effects is similar, and there is only a slightly higher rate of expulsion but an acceptable rate of method continuation. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/26180028/Comparison_of_copper_intrauterine_device_with_levonorgestrel_bearing_intrauterine_system_for_post_abortion_contraception_ L2 - https://doi.org/10.1111/jog.12747 DB - PRIME DP - Unbound Medicine ER -