title: [Severe infectious complications after an excessively long use of intrauterine device].
abstract: Intrauterine device (IUD) is a widely used method of contraception in the world. The aim of our study was to examine infectious cases due to a prolonged use of IUD. We present four patients who had carried IUD for about seventeen years. On admission, all cases were presenting symptoms of acute adnexitis. On further examination, we diagnosed tubo-ovarian abscess in two patients. In our article, we carefully describe all cases and focus attention on side effects of abnormally extended period of using IUD. We conclude that the only proper way of informing patients how to use IUD and good gynecological care while using IUD may protect against severe infectious complications of the genital tract.
authors.affiliation: Kliniki Ginekologii i Połoznictwa Septycznego Collegium Medicum UJ, Krakowie.
authors.forename: Alfred
authors.initials: A
authors.lastname: Reroń
authors.forename: Hubert
authors.initials: H
authors.lastname: Huras
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Was
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D000328:Adult; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000382:microbiology; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D000292:Pelvic Inflammatory Disease / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome