Effects of a copper-medicated intrauterine device on ovarian artery, uterine artery, and intrauterine blood flow.
OBJECTIVE
To determine the effect of a copper-medicated intrauterine device (IUD) on ovarian, uterine, arcuate, radial and subendometrial Doppler-derived indices of blood flow.


METHODS
23 regularly menstruating patients requested insertion of an IUD. All patients had a copper T (Nova T) IUD inserted between days 8 and 11 of the menstrual cycle. Ovarian, uterine, arcuate, radial and subendometrial artery pulsatility indices (PIs) were assessed by transvaginal color Doppler prior to insertion between days 8 and 11 of the menstrual cycle, and after 2 months in the same period of the cycle. Ovarian, uterine, arcuate, radial and subendometrial artery PIs were considered prior to and following IUD insertion.


RESULTS
No differences were recorded in any of the blood vessels sampled between pre- and post-insertion PIs.


CONCLUSIONS
No significant change in ovarian or in uterine system vascular impedance is associated with the presence of a copper-medicated IUD.
Shen
O
O
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel. orishen@netvision.net.il
Ben Chetrit
A
A
Margalioth
E J
EJ
Lavie
O
O
Rabinowitz
R R
RR
D000328:Adult; D005260:Female; D006801:Humans; D007435:Intrauterine Devices, Copper; D010053:Ovary / Q000098:blood supply* / Q000000981:diagnostic imaging; D017534:Radial Artery / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000098:blood supply* / Q000000981:diagnostic imaging