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Human Reproduction, Vol. 10, No. 11, pp. 2917-2918, 1995
© 1995 European Society of Human Reproduction and Embryology

research-article

Performance of copper intrauterine devices when inserted after an expulsion

Luis Bahamondes1,2,3,5, Juan Díaz1,2,4, Nadia M. Marchi2, Carlos A. Petta1,2, Maria de Lourdes Cristofoletti2 and Gabriela Gomez2

1Centro de Pesquisas das Doenças Materno-Infantis de Campinas (CEMICAMP) Caixa Postal 6181, 13081-970, Campinas, Sao Pablo 2Departamento de Tocoginecologia, Universidade Estadual de Campinas 3INTRAH, Latin America and the Caribbean Office 4The Population Council, Office in Brazil Brazil

Correspondence: 5To whom correspondence should be addressed

A total of 124 women who re-inserted a TCu-200B intrauterine device (IUD) following an expulsion were followed up for 1 year after the IUD re-insertion. The cumulative expulsion rate at 6 months was 21.7 and 31.4 per 100 women at the end of the first year. Women who expelled the first IUD within the first 3 months of use had a significantly higher expulsion rate with the second IUD. Our conclusion is that women who expelled a copper IUD are at a significantly higher risk of expelling the re-inserted IUD than the first IUD. Health workers must also be informed about the high probability of another expulsion when re-inserting an IUD after an expulsion.

Key words: expulsion/intrauterine device/re-insertion


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