Perinatal outcomes including long-term neuropsychiatric hospitalizations of offspring conceived during intrauterine contraceptive device use

Perinatal outcomes including long-term neuropsychiatric hospitalizations of offspring conceived during intrauterine contraceptive device use

Pregnancies in women who conceive with a removed or retained copper IUD are at an increased risk for short-term adverse perinatal outcomes, especially preterm delivery. For pregnancies that continued to at least 22 weeks, we found no benefit in IUD removal. However, the risk of long-term neuropsychiatric hospitalizations is not increased among offspring of these women.

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Steroid reservoir loss during removal of perforated Levonorgestrel 52 mg intrauterine device

Steroid reservoir loss during removal of perforated Levonorgestrel 52 mg intrauterine device

A 22-year-old G1P1 Caucasian female had hysteroscopic removal of a perforated intrauterine device during which the steroid reservoir of the intrauterine device was lost. Isolated steroid reservoirs are radiolucent on plain film radiography. We located the reservoir in the peritoneal cavity with magnetic resonance imaging and removed it via laparoscopy.

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The Management of a patient with a fragmented intrauterine device embedded within the cervical canal - Case Report

The Management of a patient with a fragmented intrauterine device embedded within the cervical canal - Case Report

A 28-year-old woman presented with a malpositioned intrauterine device (IUD) that was fragmented and significantly entrenched within the cervical canal and myometrium. IUD malposition with concomitant device fragmentation and embedded segments, albeit rare, should be a consideration given the device's prevalence.

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Historical record-setting trends in IUD use in the United States

Historical record-setting trends in IUD use in the United States

“No other contraceptive method has undergone so rapid and thorough a change of medical reputation as that experienced by intrauterine devices over the past few years.” These words from United States-based contraceptive researcher Christopher Tietze in 1966 also characterize the last 10 years in the United States.”

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Taking the provider “out of the loop:” Patients' and physicians' perspectives about IUD self-removal

Taking the provider “out of the loop:” Patients' and physicians' perspectives about IUD self-removal

IUD self-removal is an option that some patients may be interested in. Addressing concerns about safety may make self-removal more appealing to some patients. Addressing physicians' concern about "hasty" removal may require additional training so that providers are better able to support patients' decision-making around contraceptive use. Implications: The option of self-removal could have a positive impact on reproductive autonomy and patient-decision making.

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Recent intrauterine device use and the risk of precancerous cervical lesions and cervical cancer

Recent intrauterine device use and the risk of precancerous cervical lesions and cervical cancer

Recent levonorgestrel-IUD use may be associated with CIN2, a lesion with a high rate of regression, but not CIN3, which is considered a true pre-cancerous lesion. The observed association between levonorgestrel-IUDs and CIN2+ was modest but warrants further investigation. It may have clinical importance for contraceptive counseling if this finding is shown to be consistent across other studies and other populations.

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Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women

Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women

Women who are obese may benefit from additional counseling and closer follow-up after IUD placement. Future research is warranted to investigate IUD placement and possible IUD migration among women who are obese.

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