title: Introduction of the GyneFix intra-uterine device into the UK: client satisfaction survey and casenotes review.
abstract: OBJECTIVE
  To assess the first year's use with the GyneFix intra-uterine device. This has been used in Liverpool since early 1997. It is offered mainly to nulliparous women wishing to use an effective non-hormonal method and parous women who have had pain with, or expulsion of, a framed device previously. It is also used as emergency contraception.
  
  
  METHODS
  Retrospective study, by means of casenote review and client questionnaire.
  
  
  METHODS
  All GyneFix users from February 1997 to January 1998; 215 women in total.
  
  
  METHODS
  Data were extracted from casenotes to determine reasons for choice of GyneFix, parity, whether the insertion was planned or as an emergency measure, problems reported at follow-up and reasons for removal. Users were asked by questionnaire to comment on insertion procedure, menstrual or other changes since insertion and to state their overall satisfaction.
  
  
  RESULTS
  Over half of the users (57%) were nulliparous and a quarter of insertions were for emergency contraceptive use. A third reported that insertion was 'very painful'. Half reported that their periods had become heavier since insertion, but only 8% said that they were now unmanageable. Unacceptable bleeding was the most common reason for removal. Some reported intermenstrual bleeding and dysmenorrhoea. Satisfaction with the GyneFix was high; 86% of questionnaire responders said that they would recommend it to a friend.
  
  
  CONCLUSIONS
  The GyneFix is well accepted in Liverpool inappropriately selected clients, and is an effective non-hormonal method for nulliparous as well as parous women.
authors.affiliation: Abacus Centres for Contraception and Reproductive Health, North Mersey Community NHS Trust, Liverpool, UK.
authors.forename: J
authors.initials: J
authors.lastname: Dennis
authors.forename: A
authors.initials: A
authors.lastname: Webb
authors.forename: M
authors.initials: M
authors.lastname: Kishen
mesh_terms: D003267:Contraception / Q000379:methods; D003625:Data Collection; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D007433:Intrauterine Device Expulsion; D007434:Intrauterine Devices / Q000009:adverse effects / Q000706:statistics & numerical data*; D010146:Pain / Q000209:etiology; D010298:Parity; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D006113:United Kingdom; D014592:Uterine Hemorrhage / Q000209:etiology