Pelvic pain and early IUD discontinuation: a prospective cohort study
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Date
2019-03
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: The aim of the study is to assess if pelvic pain is a risk factor for intrauterine device (IUD) discontinuation within one year of placement.Methods: This is a prospective cohort study of women who had IUDs inserted at a family planning office for the primary intent of contraception. Baseline pelvic pain characteristics were assessed using a validated pelvic pain questionnaire. Women were contacted at 1 year to assess IUD continuation.Results: From February 1, 2014 to August 11, 2015 authors enrolled a sample of 179 women. Of the 179 enrolled,163 participants completed the questionnaire, 98 reported a history of baseline pelvic pain and 65 reported no history of baseline pelvic pain. 20 participants were lost to follow-up. 86 women in the pelvic pain and 57 in the no pelvic pain group were included in the final analysis. Discontinuation rates at one year follow up were 25.6% (22) and 35.1% (20) respectively. There was no significant difference in those with and without pelvic pain discontinuing IUDs at one year (p = 0.22).Conclusions: Baseline generalized pelvic pain may not be a risk factor for IUD discontinuation within one year of placement.
Description
Keywords
Intrauterine device (IUD), Pelvic pain, Risk factor
Citation
Gerber Sharon R., Nattell Noah, Doty Nora, Liu Xiaoyu, Overbey Jessica R., Masch Rachel. Pelvic pain and early IUD discontinuation: a prospective cohort study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Mar; 8(3): 792-796