[Use of intrauterine device by nulliparous women. Prospective study and preliminary data].
BACKGROUND
The aim of the study, that is still on the way, was to evaluate the negative effects of an intrauterine device, used for more than 2 years, on future fertility of young women who due to medical or personal reasons couldn't use hormonal contraceptives.


METHODS
A prospective study was started in 1987 in a group of 515 nulliparous healthy women (age 20-30) using an intrauterine device (Nova T, Schering, Multiload Cu 275 Organon) as contraceptive method. Two hundred and twentyfour women wished to become pregnant following the IUD extraction.


RESULTS
Within 12 months, 221 (98.7%) of them became pregnant demonstrating the harmlessness of the contraceptive method on future fertility. All pregnancies had a normal course, except one abortion at the 8th week of gestational age. There hadn't been pregnancies during the observation period, 25 (4.8%) women requested the IUD be removed before the end of the study because of side effects.


CONCLUSIONS
IUD did not cause a reduction in fertility or an increase in ectopic pregnancy in our group of patient.
Servizio Speciale di Piccola Chirurgia Ostetrica Ginecologica, Università degli Studi di Roma La Sapienza.
C
C
Bastianelli
M
M
Farris
A
A
Lippa
V
V
Lucantoni
A
A
Valente
D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology* / Q000517:prevention & control; D007434:Intrauterine Devices / Q000009:adverse effects*; D010298:Parity; D011247:Pregnancy; D011446:Prospective Studies; D013997:Time Factors
Uso del dispositivo intrauterino nelle nullipare. Studio prospettico e dati preliminari.