title: Iron-deficiency anemia and long-term use of copper-bearing IUDs.
abstract: The increase in menstrual blood loss (MBL) caused by IUDs may result in iron deficiency anemia.  60 women completing 2 years of Cu-IUD use were investigated for this risk, using hemoglobin concentration serum iron indices.  No significant differences were found compared to a control group of women requesting interval Cu-IUD insertion.  A decrease in the MBL increment with time following insertion, self-selection of the study population, and increased dietary iron absorption are suggested explanations for these results.  15.4% of patients suffered from iron deficiency anemia.  Measurement of serum ferritin is advocated to identify these women for treatment, in order to enhance maternal health.
authors.forename: T H
authors.initials: TH
authors.lastname: Goh
authors.forename: M
authors.initials: M
authors.lastname: Hariharan
mesh_terms: D000367:Age Factors; D001695:Biology; D001769:Blood; D055598:Chemical Phenomena; D002621:Chemistry; D003267:Contraception; D003300:Copper; D003710:Demography; D003933:Diagnosis; D004194:Disease; D005193:Family Planning Services; D006454:Hemoglobins; D006470:Hemorrhage; D007287:Inorganic Chemicals; D007434:Intrauterine Devices; D007435:Intrauterine Devices, Copper; D007501:Iron; D008597:Menstrual Cycle; D008598:Menstruation; D008670:Metals; D010298:Parity; D010827:Physiology; D011153:Population; D011157:Population Dynamics; D012098:Reproduction; D012106:Research; D012816:Signs and Symptoms; D012923:Social Class; D013995:Time; D013997:Time Factors
chemical_list: D006454:Hemoglobins; D007287:Inorganic Chemicals; D008670:Metals; D003300:Copper; D007501:Iron
keywords: Age Factors; Biology; Bleeding; Comparative Studies; Contraception; Contraceptive Methods; Copper; Demographic Factors; Diseases; Examinations And Diagnoses; Family Planning; Hematological Effects; Hemic System; Hemoglobin Level; Ingredients And Chemicals; Inorganic Chemicals; Iud; Iud Material; Iud, Copper Releasing; Longterm Effects; Menstrual Cycle; Menstruation; Metals; Parity; Physiology; Population; Population Dynamics; Reproduction; Research Methodology; Serum Iron Level--analysis; Signs And Symptoms; Size; Socioeconomic Status; Studies; Time Factors