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) |
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Pages (from-to) | 575-577 |
Number of pages | 3 |
Journal | Contraception |
Volume | 92 |
Issue number | 6 |
DOIs | |
State | Published - Dec 1 2015 |
Keywords
- Discontinuation
- Dysmenorrhea
- IUD
- Pain
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology