Ultrasonographic findings in cases of menorrhagia associated with use of intra uterine contraceptive device

ABSTRACT

To investigate the role of ultrasonography as a simple, available and minimally invasive diagnostic tool in assessment of uterine bleeding associated with intrauterine contraceptive device. Intrauterine contraceptive device-induced uterine bleeding is one of the main problems met in many women using this method, Technologic improvement and increased experience in interpreting the ultrasonographic images, have made evaluation of uterine bleeding considerably accurate. Fifty eight women using intrauterine contraceptive device [1UCD] for more than one year were enrolled. Full history and clinical examination were done for all participants then transvaginal ultrasonography was done within 48 hours of the end of the menstruation. The endometrial thickness in addition to the following distances were all measured and analyzed; IUD-F = Distance between IUD top and uterine fundus, IUD-ED = Distance between IUD top and endometrial surface IUD-IO = Distance between IUD lower end and internal os. There was no significant difference between the two groups concerning endometrial thickness. The only significant difference between the study group and the control group as regards the position of the IUD inside the uterine cavity was the IUD-F Distance between IUD top and uterine fundus. Transvaginal ultrasonography can be considered a reliable method for investigating abnormal uterine bleeding associated with intrauterine contraceptive device