Online ISSN: 2515-8260

Keywords : IUCD


TRANSVAGINAL ULTRASOUND DOPPLER ASSESSMENT OF SUBENDOMETRIUM BLOOD FLOW IN CASES OF EXCESSIVE MENSTRUAL BLEEDING AFTER INSERTION OF INTRAUTERINE CONTRACEPTIVE DEVICE

Fatma Salem Almakki, Khaled Baiomy Elsayed, Entesar Rushdy Mahdy, Abdel Razik El-Sayed Abdel Razik

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4627-4634

Background: The intrauterine contraceptive device (IUCD) is one of the most used methods of contraception all over the world. The most important adverse effects related to copper intrauterine contraceptive device use are excessive uterine bleeding and menstrual pain. This study aimed to evaluate uterine artery and  subendometrial blood flow in patients who are complaining of excessive menstrual bleeding after IUCD insertion. Patients and methods: Fifty-four women were included in this cross sectional case control study and they divided into group I (18 women) using copper intrauterine device (Tcu 380A) and complaining of menorrhagia; group II (18 women) using copper IUCD and not complaining of abnormal uterine bleeding and group III (18 women) who not using any contraceptive method and not complaining of abnormal uterine bleeding. Results: There is statistically significant difference between the studied groups regarding subendometrial RI and PI. On doing Turkey’s HSD test, the difference is significant between group with IUD and manifested by excessive menstrual bleeding and the group with IUD and normal menstrual flow and control groups. RI was significantly higher in those with IUD and excessive menstrual flow and patients within this group had the lowest PI. The best cutoff of uterine PI in prediction of excessive menstrual bleeding if IUD inserted is ≤1.85 with area under curve 0.936, at which sensitivity 88.9%, specificity 88.9%, positive predictive value 94.1%, negative predictive value 80% and accuracy 88.9% (p<0.05).Conclusion: Uterine artery and subendometrial blood flow were increased in women with IUCD induced menorrhagia in comparison to women with copper IUCD and not complaining of abnormal bleeding and women without copper IUCD.
 

A STUDY TO COMPARE THE LEVEL OF KNOWLEDGE AND PERCEIVED BARRIERS RELATED TO INTRAUTERINE DEVICES (IUDs) USAGE AMONG WOMEN AGED 20-40 YEARS RESIDING AT SELECTED URBAN AND RURAL AREAS OF MANGALORE

Mrs. Navya; Lt .col, Professor Suma K.S; Prashanth Kumar K

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2270-2282

BACKGROUND OF THE STUDY: Population in India was not growing rapidly till the early twenties of the last century. It was nearly static, with a relatively safe and acceptable rate of annual growth, since both birth and death rates were relatively high .With advances in technology and expansion of health services death rate started declining in the following decades. Meanwhile the birth rate continued to persist at the same level .This caused a severe demographic gap between the birth and death rate, and resulted in growth of population at an alarming rate. OBJECTIVE: To assess the knowledge and perceived barrier regarding IUCD. METHOD AND MATERIAL: A quantitative research approach with non experimental comparative descriptive study was adopted in this study. The non-probabality, purposive sampling technique was used to select the subject for the study. Data collected from 100 subjects were analyzed by descriptive and inferential statistics.