[An analysis of complications and bacteriological and histological studies following extraction of an intrauterine contraceptive device (Beospir) which was inserted several years ago].
Ninety-nine women with the average IUCD (Beospir type) insertion length of 45.2 months were investigated. Pathological changes were clinically evidenced in 9 women (9.09%). Causes of the IUCD removal were bleeding in 4 women (4.04%) and pregnancy during the IUCD use in situ in 3 women (3.03%). The IUCD and endometrium were bacteriologically and the endometrium also histologically analysed. In 58 women (58.58%) the endometrium and in 29 women (29.29%) the IUCD remained sterile. The dominant findings were facultatively pathogenic bacteria commonly present in the cervix. The infection, i.e. when the same kind of bacteria was found in the whole material, was evidenced in 6 women (6.06%), and this was also histologically confirmed. The same kind of bacteria were found in the IUCD and the endometrium. The histological analysis has shown that at the moment of the IUCD removal the endometrium was in physiological phases in 86 women (86.86%). There was glandular hyperplasia in 4 (4,04%) women whose bacteriological vaginal flora was positive. By the Papanicolau test all the women belonged to group II. The IUCD produces no pathologic effect most probably because there is a cyclic renewal (regeneration) of the endometrium.
D000328:Adult; D004716:Endometritis / Q000209:etiology*; D004717:Endometrium / Q000382:microbiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D011247:Pregnancy
Analiza komplikacija, bakterioloska i histoloska ispitivanja nakon ekstrakcije kontracekcijskog uterinog uloska (Beospir) postavljenog pre vise godina.