ABSTRACT
PIP: To evaluate a possible risk of development of inflammatory diseases of the genital organs in IUD users, 410 women in whom IUD was inserted on day 5 after normal delivery were followed up for 3 years. The follow-up included gynecologic, colposcopic, and bacteriologic examinations. IUD insertion shortly after childbirth did not affect the course of the puerperal period. Within the 1st 3-6 months, 13% of the women showed expulsion of the IUD and had to undergo the reinsertion of the device. The IUD did not increase the incidence of vaginal discharge (6%, compared with 6.3% reported in the literature). Bacteriologic examination of the vaginal and cervical content showed prevalence of cocci and gram-positive bacteria identical to those in women who did not use the IUD. Histological examination of the endometrium in 65 women indicated chronic endometritis in 4 and foci of the perivascular and periglandular round cell and leukocytic infiltration indicative of a local nonspecific immune response to the foreign body in 26. Among these 65 women, 15 showed proliferative phase of the endometrium, 24 showed early secretory phase and 26 showed secretory phase. The state of the endometrium corresponded to the phase of the menstrual cycle in 41 of 65 women. It was concluded that the incidence of complications in women subjected to IUD insertion after childbirth did not exceed that of the general population.^ieng
