GyneFix: a UK experience.
OBJECTIVE
To present the experience of family planning providers and clients in the UK with the GyneFix intrauterine implant device.


METHODS
Audit of 138 GyneFix insertions at the Ella Gordon Family Planning Unit in Portsmouth, from 1997 to 1999.


RESULTS
Of 138 attempts at GyneFix insertion, 134 were successful. Forty per cent were inserted in nulliparous women. The removal rate was 15%, half of which were due to unacceptable side-effects. The expulsion rate was 8% ranging over a period of a few days to 12 months after insertion. There were no reported perforations or accidental pregnancies with GyneFix in situ in this series. There were no reported pregnancies as a result of unnoticed expulsion.


CONCLUSIONS
The results obtained in this study are minimal estimates obtained from a retrospective analysis. The numbers are small but they are comparable to results reported from other family planning centers in the UK. Although GyneFix clearly has a useful role, there is a need for a large-scale prospective randomized study to establish the benefits and potential disadvantages of the GyneFix device.
Geyoushi
B E
BE
Department of Obstetrics and Gynaecology, Princess Anne Hospital, University of Southampton, UK.
Randall
S
S
Stones
R W
RW
D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D004739:England; D005193:Family Planning Services / Q000379:methods / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007433:Intrauterine Device Expulsion / Q000009:adverse effects*; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000592:standards* / Q000706:statistics & numerical data; D008485:Medical Audit; D008875:Middle Aged; D010298:Parity; D012189:Retrospective Studies