title: Uptake and continuous use of copper intrauterine device in a cohort of HIV-positive women.
abstract: Copper intrauterine device (IUD) is not commonly used in many countries, though it provides effective reversible contraception with no or minimal primary systemic side effects. We assessed its uptake and continuation of use among HIV-positive Thai women. Sixty-six of 322 women of reproductive age, whom we approached for the study, met the eligibility criteria. Sterilization (62%) was the main reason for failure to enroll. Twenty-nine of them (44%) underwent IUD insertion. Considering condom use sufficient for pregnancy prevention (12%) was the main reason among eligible women for the refusal to participate in the study. At six months, 54% of enrolled participants reported one or more side effects such as increased menstrual flow (43%), spotting (21%) and dysmenorrhea (11%). The continuation rate of IUD use was high (93%), in spite of the persistent non-systemic side effects. The study showed that copper IUD could be an acceptable contraceptive choice for Thai HIV-positive women. Easy access to the method in a setting linked with the HIV service, and education on IUD risks and benefits is needed to promote the use of IUD in addition to condoms as an effective contraceptive option in HIV-infected women.
authors: The HIV Netherlands Australia Thailand Research Collaboration, Bangkok, Thailand. nadia.kl@hivnat.org
authors: Nadia Kancheva
authors: NK
authors: Landolt
authors: Nittaya
authors: N
authors: Phanuphak
authors: Nipat
authors: N
authors: Teeratakulpisarn
authors: Rosalin
authors: R
authors: Kriengsinyot
authors: Jennisa
authors: J
authors: Ahluwalia
authors: Suteeraporn
authors: S
authors: Pinyakorn
authors: Surasith
authors: S
authors: Chaithongwongwatthana
authors: Jintanat
authors: J
authors: Ananworanich
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003267:Contraception / Q000379:methods*; D003268:Contraception Behavior; D003906:Developing Countries; D005193:Family Planning Services / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000635:transmission; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000009:adverse effects / Q000706:statistics & numerical data*; D011247:Pregnancy; D018570:Risk Assessment; D012725:Sexual Behavior; D013785:Thailand