Pelvic pain and early IUD discontinuation: a prospective cohort study

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Sharon R. Gerber, Noah Natell, Nora Doty, Xiaoyu Liu, Jessica R. Overbey, Rachel Masch

IJRCOG - International Journal of Reproduction, Contraception, Obstetrics and Gynecology

February 5, 2019

Baseline generalized pelvic pain may not be a risk factor for IUD discontinuation within one year of placement.

Of the 163 participants, 98 (60.1%) reported a history of pelvic pain and 65 (39.9%) reported no history of pelvic pain…. Twenty-two subjects (25.6%) in the group with baseline pelvic pain and 20 (35.1%) in the group without pelvic pain discontinued IUDs at 1 year….

Reason for IUD discontinuation was ascertained for 35 of the 42 women that reported IUD discontinuation. Most of these women attributed removal to either bleeding (n=10) or pain (n=8) followed by desire for pregnancy (n=6). Other reasons included malpositioned IUD (n=5), IUD expulsion (n=5) and one report of pregnancy with IUD in situ.

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