ABSTRACT
Background: The aim of the study is to assess if pelvic pain is a risk factor for intrauterine device (IUD) discontinuation within one year of placement.Methods: This is a prospective cohort study of women who had IUDs inserted at a family planning office for the primary intent of contraception. Baseline pelvic pain characteristics were assessed using a validated pelvic pain questionnaire. Women were contacted at 1 year to assess IUD continuation.Results: From February 1, 2014 to August 11, 2015 authors enrolled a sample of 179 women. Of the 179 enrolled,163 participants completed the questionnaire, 98 reported a history of baseline pelvic pain and 65 reported no history of baseline pelvic pain. 20 participants were lost to follow-up. 86 women in the pelvic pain and 57 in the no pelvic pain group were included in the final analysis. Discontinuation rates at one year follow up were 25.6% (22) and 35.1% (20) respectively. There was no significant difference in those with and without pelvic pain discontinuing IUDs at one year (p = 0.22).Conclusions: Baseline generalized pelvic pain may not be a risk factor for IUD discontinuation within one year of placement.
ABSTRACT
Los dispositivos intrauterinos constituyen el método anticonceptivo más empleado en países en vías de desarrollo. No exentos de complicaciones y, al igual que cualquier otro cuerpo extraño implantado en el organismo, puede migrar. Se realiza la presentación de una paciente en la que se diagnostica la migración de un DIU al ovario, una de las localizaciones más infrecuentes, y su exitosa remoción por cirugía videoasistida. Se recomienda este método como proceder de elección para la extracción de estos dispositivos translocados a la cavidad abdominal en los casos no complicados
The intrauterine devices (IUD) are the more used contraceptive method in developing countries. Not exempt of complications and just like other foreign body inserted in the organism, may migrate. This the case of a patient diagnosed with migration DIU to ovarium, one of the more frequent locations and its successful removal by means of video-assisted surgery. Authors recommended this method as a choice procedure to removal of theses translocated devices to abdominal cavity in non-complicated cases
Subject(s)
Humans , Female , Adult , Video-Assisted Surgery/methods , Intrauterine Devices/adverse effects , Ovary/surgeryABSTRACT
Intrauterine device (IUD) is a safe and efficient method of contraception in comparison with the efficacy of tubal sterilization, yet remains underutilized due to biased or outdated information about IUD. It is currently believed that the mechanism of action for IUDs is the production of an intrauterine environment that is spermicidal. IUD does not increase a woman's risk for pelvic infection, ectopic pregnancy, or subsequent infertility. IUD insertion in nulliparous or unmarried women is not contra-indicated. IUD is also a useful contraceptive method for those women without increasing the risk of ascending pelvic infection. The other benefit of IUD beyond contraception includes lowering the risk of endometrial cancer. The levonorgestrel-releasing intrauterine system reduces massive menstrual bleeding and dysmenorrhea. The copper IUD is the most effective method for emergency contraception. The careful patient selection and pre-insertion counseling are crucial to the success of IUD.
Subject(s)
Female , Humans , Pregnancy , Bias , Contraception , Contraception, Postcoital , Copper , Counseling , Dysmenorrhea , Endometrial Neoplasms , Hemorrhage , Infertility , Intrauterine Devices , Levonorgestrel , Patient Selection , Pelvic Infection , Pregnancy, Ectopic , Single Person , Sterilization, TubalABSTRACT
Actinomyces species are gram-positive, non-acid fast anaerobic bacteria that exhibit branching, filamentous growth. More recently, It reported that female genital actinomycosis has been associated with the use of an intrauterine contraceptive device (IUD). We have experienced a case of pelvic and abdominal wall actinomycosis with mucinous cystadenoma in a 36-years-old woman using IUD and report it with brief review of literature.
Subject(s)
Female , Humans , Abdominal Wall , Actinomyces , Actinomycosis , Bacteria, Anaerobic , Cystadenoma, Mucinous , Intrauterine DevicesABSTRACT
OBJECTIVE: To study intrauterine or extrauterine misplacement of intrauterine devices in respect to their usage in diagnosis and therapy via retrospective analysis. METHODS: Data from 1993 to 2000 on a total of 32 patients from seven Catholic University branch hospitals who had been admitted to treat IUDs which had misplaced to intrauterine or extrauterine locations were analyzed for usage in a retrospective study. RESULTS: The data for intrauterine and extrauterine misplacement revealed no significant difference between from the statistical average in relation to age, parity and duration of insertion. In terms of removal method, all 15 patients with extrauterine misplacement underwent surgical extraction by open or laparascopic method under general anesthesia, but those patients with intrauterine misplacement had their device removed after cervical dilatation with a laminaria using local anesthesia. Concerning diagnosis, 81.2% of extrauterine misplacement were diagnosed using x-ray while 58% of intrauterine misplacement were diagnosed using vaginal US. The result of the Fisher's exact test showed a significant difference (p=0.043) in the rate of diagnosis for intrauterine and extrauterine misplacement of IUDs. Also, the results of multi-variable analysis performed for logistical regression analysis showed that intrauterine misplacement occurred 1.23 times more frequently than extrauterine misplacement. CONCLUSION: Further studies are required on a broader patient population, on more types of IUDs and with time variables taken into account. Despite more research, prevention of complications such as misplacement remains the most appealing situation, being influenced by such factors as technical skill of the physician inserting the IUD, appropriate duration of insertion and proper patient education.
Subject(s)
Female , Humans , Pregnancy , Anesthesia, General , Anesthesia, Local , Diagnosis , Hospitals, Satellite , Intrauterine Devices , Labor Stage, First , Laminaria , Parity , Patient Education as Topic , Retrospective StudiesABSTRACT
Actinomycosis, a rare disease entity in the upper genital tract, and caused by anaerobic bacteria, Actinomyces israelii, presents some difficulties in establishing a correct preoperative diagnosis. Pelvic actinomycosis has been reported more frequently in women with intrauterine device (IUD). Actinomycosis may be confused with malignancy and other inflammatory diseases due to its infiltrative nature and tendency to invade normal anatomic barriers. So, cervicovaginal smear is recommended for all women wearing IUDs, and actinomyosis should be suspected in such patients suffering pelvic infections. We experienced a case of pelvic and abdominal actionomycosis complicated by tuboovarian abscess in a 52 year-old woman wearing IUD and report it with a brief review of related literatures.
Subject(s)
Female , Humans , Middle Aged , Abscess , Actinomyces , Actinomycosis , Bacteria, Anaerobic , Diagnosis , Intrauterine Devices , Pelvic Infection , Rare DiseasesABSTRACT
Actinomycosis is a chronic, progressive, suppurative disease which present some difficulty in establishing a correct preoperative diagnosis. Because pelvic actinomycosis has variable nonspecific clinical manifestations. Actinomyces species are gram-positive, non-acid fast, anaerobic bacteria that exhibit branching filamentous growth. After trauma, surgery, or other infection that alter the host's mucosal barriers, these organism advance to invade surrounding tissues and organs. Recent reports have demonstrated an increased incidence in women using Intrauterine device (IUD). It is accounted that IUD cause chronic intrauterine infection, tissue injury, and act as nucleus for parasitic infestation. We have experienced a cause of pelvic actinomycosis in a 37-year-old woman using IUD and report it with brief review of literature.
Subject(s)
Adult , Female , Humans , Actinomyces , Actinomycosis , Bacteria, Anaerobic , Diagnosis , Incidence , Intrauterine DevicesABSTRACT
Pelvic actinomycosis is a chronic suppurative and granulomatous disease with multiple abscess and draining sinus tracts caused by Actinomyces, a Gram-positive, anaerobic, non-acid-fast bacterium. Pelvic actinomycosis is a rare disease, but it is more common with intrauterine device users than others. The symptoms and signs of pelvic actinomycosis are variable, from asymptomatic to mimicking the symptoms and signs of pelvic mass or acute peritonitis, and sometimes it is difficult to discriminate pelvic malignancy from actinomycosis. Identifying the typical "sulfur granule" with hematoxylin-eosin stain and detecting the actinomycotic colony in Gram stain may suggest the diagnosis. We have experienced a case of pelvic actinomycosis complicated by right tuboovarian abscess in a 39-year-old woman using intrauterine device and report it with brief review of literatures.
Subject(s)
Adult , Female , Humans , Abscess , Actinomyces , Actinomycosis , Diagnosis , Intrauterine Devices , Peritonitis , Rare DiseasesABSTRACT
Pelvic actinomycosis is a chronic suppurative and granulomatous disease with multiple abscess and draining sinus tracts caused by Actinomyces, a Gram-positive, anaerobic, non-acid-fast bacterium. Pelvic actinomycosis is a rare disease, but it is more common with intrauterine device users than others. The symptoms and signs of pelvic actinomycosis are variable, from asymptomatic to mimicking the symptoms and signs of pelvic mass or acute peritonitis, and sometimes it is difficult to discriminate pelvic malignancy from actinomycosis. Identifying the typical "sulfur granule" with hematoxylin-eosin stain and detecting the actinomycotic colony in Gram stain may suggest the diagnosis. We have experienced a case of pelvic actinomycosis complicated by right tuboovarian abscess in a 39-year-old woman using intrauterine device and report it with brief review of literatures.