Intra-uterine contraceptive devices (IUDs) in relation to uterine histology and microbiology.
Histological and microbiological examinations were made of 90 uteri taken in association with abdominal hysterectomy. Thirty-one women had an intra-uterine contraceptive device (IUD) in utero at the time of operation, 16 women had previously used an IUD, while 43 had never used one. A chronic inflammatory reaction was seen significantly more often in the fallopian tubes of women with an IUD in situ (21/31, 68%) than in those who had never used an IUD (7/43, 16%). In contrast, non-active post-inflammatory tubal changes were found less frequently in women with an IUD in situ (6%) than in women who had never used an IUD (16%). All tubes were sterile, expect for two with apathogenic microbes. An endometrial inflammatory reaction was found in 4 women with an IUD in situ and in one woman who had never used an IUD. The possibility of tubal infertility must be borne in mind when planning IUD contraception.
Department of Obstetrics and Gynaecology, University Central Hospital, Helsinki, Finland.
P
P
Kajanoja
B
B
Lång
T
T
Wahlström
D000328:Adult; D001419:Bacteria / Q000302:isolation & purification; D004716:Endometritis / Q000209:etiology / Q000382:microbiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D010298:Parity; D012488:Salpingitis / Q000209:etiology* / Q000382:microbiology; D002575:Uterine Cervicitis / Q000209:etiology / Q000382:microbiology; D014599:Uterus / Q000382:microbiology* / Q000473:pathology