[Health risks in intrauterine contraception].
From 1968 till 1987, 8514 first insertions of different IUDs were performed; 7315 IUD users were regularly followed-up. In 4269 cases non-medicated and in 3046 cases medicated IUDs were inserted. All women were classified according to age, parity and the number of previous abortions. In the women analysed only one cervical perforation was found 3 months after the insertion of TCu 380 Ag (secondary perforation). In the group of non-medicated IUD users till the cut off date (February 29, 1988) 377 (8.8%) pregnancies were registered of which 10 were ectopic; at the same time there were 104 (2.4%) cases of PID. In the group of medicated IUD users 160 (5.3%) pregnancies with 11 ectopic and 90 (3.0%) cases of PID were observed. According to the age of users, in the group of women in their teens pregnancies appeared more often than in the older users, independent of the type of the IUD used. This difference was statistically significant (p less than 0.05). The highest percent age of PID was registered in mulliparous medicated IUD users: the difference in the PID appearance in nulliparous and multiparous medicated IUD users has also shown a statistical significance. Gross cumulative rates after 10 years of use fo non-medicated IUDs were 12.5 for pregnancy and 4.6 for PID, and after 15 years 14.6 and 6.2, respectively. For medicated IUDs after 10 years of use these rates were 9.4 for pregnancy and 8.3 for PID.
Randić
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Haller
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D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D000292:Pelvic Inflammatory Disease / Q000209:etiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology
Zdravstveni rizici intrauterine kontracepcije.