RESUMO
PIP: Intrauterine contraception is often accompanied by complications, and, in approximately 15% of the cases, the IUD must be removed due to various disorders and diseases. Many of these complications are caused by inflammatory processes which occur in 2-4% of IUD users. Adding copper to the IUD does not reduce the occurrence of inflammatory diseases. Results of a study on genital inflammatory processes caused by IUDs are presented and analyzed. The study included 138 women, 21-40 years of age, whose medical histories revealed such unfavorable factors as menstrual disorders and frequent somatic and gynecological diseases especially of infectious etiology. The women used IUDs, but they had to be removed due to inflammatory processes. Following insertion of the IUD, 28.9% of the patients studied developed menorrhagic disorders of the menstrual function; premenstrual, ovulatory, and postmenstrual hemorrhages; algodysmenorrhea; and contact hemorrhages. Almost all of the women experienced pain, and their libidos were inhibited by insertion of the IUD. 5 women became pregnant and the pregnancies were terminated by spontaneous abortion. From the results it is concluded that IUDs aggravate the risk of genital inflammatory disease. Therefore, women susceptible to these diseases should not use IUDs. Thorough examination and assessment of unfavorable factors prior to IUD insertion will reduce the risk of genital inflammatory processes.^ieng
