Abstract
Objective To assess baseline dysmenorrhea and insertion-related pain as predictors of intrauterine device (IUD) removal within 1 year following insertion. Study design System-wide medical record abstraction 1 year after IUD insertion to identify removals and comparison of baseline characteristics (dysmenorrhea, insertion pain) among women with a removal versus women who continued IUD use was used. Baseline data came from a randomized trial of pain control during insertion. Results Among 199 insertions, we identified 21 removals and 7 expulsions, a continuation rate of 85.9%. Women with IUD removal had higher median dysmenorrhea scores before insertion than those who continued (42 vs. 25.5, p=.03). Insertion pain and other characteristics were not associated with removal. Conclusions Preexisting dysmenorrhea may predict IUD removal within 1 year.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 575-577 |
| Number of pages | 3 |
| Journal | Contraception |
| Volume | 92 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2015 |
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Keywords
- Discontinuation
- Dysmenorrhea
- IUD
- Pain
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology
Cite this
IUDs at 1 year : Predictors of early discontinuation. / Maguire, Karla E; Joslin-Roher, Sophie; Westhoff, Carolyn L.; Davis, Anne R.
In: Contraception, Vol. 92, No. 6, 01.12.2015, p. 575-577.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - IUDs at 1 year
T2 - Predictors of early discontinuation
AU - Maguire, Karla E
AU - Joslin-Roher, Sophie
AU - Westhoff, Carolyn L.
AU - Davis, Anne R.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective To assess baseline dysmenorrhea and insertion-related pain as predictors of intrauterine device (IUD) removal within 1 year following insertion. Study design System-wide medical record abstraction 1 year after IUD insertion to identify removals and comparison of baseline characteristics (dysmenorrhea, insertion pain) among women with a removal versus women who continued IUD use was used. Baseline data came from a randomized trial of pain control during insertion. Results Among 199 insertions, we identified 21 removals and 7 expulsions, a continuation rate of 85.9%. Women with IUD removal had higher median dysmenorrhea scores before insertion than those who continued (42 vs. 25.5, p=.03). Insertion pain and other characteristics were not associated with removal. Conclusions Preexisting dysmenorrhea may predict IUD removal within 1 year.
AB - Objective To assess baseline dysmenorrhea and insertion-related pain as predictors of intrauterine device (IUD) removal within 1 year following insertion. Study design System-wide medical record abstraction 1 year after IUD insertion to identify removals and comparison of baseline characteristics (dysmenorrhea, insertion pain) among women with a removal versus women who continued IUD use was used. Baseline data came from a randomized trial of pain control during insertion. Results Among 199 insertions, we identified 21 removals and 7 expulsions, a continuation rate of 85.9%. Women with IUD removal had higher median dysmenorrhea scores before insertion than those who continued (42 vs. 25.5, p=.03). Insertion pain and other characteristics were not associated with removal. Conclusions Preexisting dysmenorrhea may predict IUD removal within 1 year.
KW - Discontinuation
KW - Dysmenorrhea
KW - IUD
KW - Pain
UR - http://www.scopus.com/inward/record.url?scp=84960494035&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84960494035&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2015.09.005
DO - 10.1016/j.contraception.2015.09.005
M3 - Article
C2 - 26365791
AN - SCOPUS:84960494035
VL - 92
SP - 575
EP - 577
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 6
ER -