IUDs at 1 year: Predictors of early discontinuation

Karla E Maguire; Sophie Joslin-Roher; Carolyn L. Westhoff; Anne R. Davis

doi:10.1016/j.contraception.2015.09.005

IUDs at 1 year: Predictors of early discontinuation

Karla E Maguire, Sophie Joslin-Roher, Carolyn L. Westhoff, Anne R. Davis

Department of Obstetrics & Gynecology

Research output: Contribution to journal › Article

5 Scopus citations

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	https://doi.org/10.1016/j.contraception.2015.09.005
State	Published - Dec 1 2015

Keywords

Discontinuation
Dysmenorrhea
IUD
Pain

ASJC Scopus subject areas

Reproductive Medicine
Obstetrics and Gynecology

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10.1016/j.contraception.2015.09.005

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Maguire, K. E., Joslin-Roher, S., Westhoff, C. L., & Davis, A. R. (2015). IUDs at 1 year: Predictors of early discontinuation. Contraception, 92(6), 575-577. https://doi.org/10.1016/j.contraception.2015.09.005

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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.",

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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.

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