Uterine sound-sparing approach in insertion of Nova T-380 intrauterine device

Document Type : Original Article

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Obstetrics and Gynecology ,Faculty of Medicine ,Helwan university

Abstract

Objectives: Insertion of IUD is an invasive painful procedure. Pain associated with IUD insertion is a barrier among females to use IUD for contraception. This study aims to compare using IUD inserter as a uterine sound-sparing approach to classic approach using uterine sound in context of pain perception among patients.
Study design: This prospective study included women requesting IUD insertion. In group (I) women were subjected to classic approach for NOVA T-380 insertion and in group (II) IUD was inserted using uterine inserter for assessment of the uterine cavity length and position without using uterine sound.
Results: 70 women were analysed in group (I) and 68 in group (II). Pain associated with uterine length measurement and overall pain perception in group (II) were significantly lower than group (I) (p =0 .001). Ease of uterine length measurement step was statistically comparable in both groups. Significant short duration of insertion was reported in group (II) (p = 0.001).Ultrasound showed that IUD was in place in all women.
Conclusions: Using IUD inserter in defining uterine position and length can replace the classic uterine sound. Less pain, reduction in time taken in IUD insertion and easy application were reported.

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