Long-term cytologic follow-up studies of copper intrauterine contraceptive device users

Cytologic evaluation in the form of multiple follow-up studies was carried out in [210] women using Copper IUCD for a period ranging from 18-72 months. Age of those women ranged from 21-42 years. Pre-insertion smears were available for nearly half of them. The main encountered cytologic abnormalities included squamous metaplasia [70.5%] endocervial cell proliferation and repair [59%], abnormal endometrial cell shedding [24%] and dysplais: [9.5%]. While the former two lesions showed a significant association with loop insertion, the rate of dysplasia did not reveal any significant change during the six-month period of follow up. The results of the present work, therefore, support the observation noted by other major studies that there is no significant enhancement of cervical cytologic neoplasia from up to six years of using IUCD