Abstract
This paper reports the joint experience of three investigators who used three types of the Multiload (ML) IUD (MLCu250 Short, MLCu250 Standard, and MLCu375) in 1987 consecutive insertions during which an experience of 56005 woman-months of use was accumulated. The material was analyzed using the life-table method and complemented with a case by case investigation, the main purpose of the study being the specific analysis of IUD-related complications. The authors also evaluated return of fertility whenever a device was removed because of wish of pregnancy.
Results indicate that serious IUD-related complications were rare, continuation rate high, and reversibility of fertility unaffected by the device.
Resumé
Cet article rapporte l'expérience de trois investigateurs avec trois types de DIU Multiload (MLCu250 court, standard et MLCu375) dans une série consécutive de 1987 insertions et un total de 56.005 cycles. Le matériel a été analysé en faisant usage des tables-vie, complété par une investigation de chaque cas, le but principal étant cependant l'évaluation de complications relatives au port du DIU. Les auteurs ont également analysé la réversibilité de la fertilité après retraît pour désir d'une nouvelle grossesse. Les résultats indiquent que les complications sérieuses dues au DIU étaient rares et le taux de continuation élevé. Apparemment le retour de la fertilité n'était pas influencé par le port d'un DIU.
Resumen
En este trabajo se informa sobre la experiencia conjunta de tres investigadores que emplearon tres tipos de dispositivo intrauterino Multiload (ML) (MLCu250 Short, MLCu250 Standard y MLCu375) en 1.987 inserciones consecutivas, durante las cuales se registró una experiencia de 56.005 meses-mujer de uso. El material se analizó utilizando el método de tabla de vida y se complementó con un estudio de cada caso individual; el objetivo principal del estudio fue el análisis específico de complicaciones relacionadas con el empleo del DIU. Los autores evaluaron asimismo el retorno de la fecundidad cuandoquiera que se retirase un dispositivo debido al deseo de la mujer de quedar ambarazada.
Los resultados indican que rara vez hubo complicaciones graves relacionadas con el empleo del dispositivo, que la tasa de continuación fue alta y que la reversibilidad de la fecundidad no se vio afectada por el dispositivo.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
ThieryM. (1988). Hazards of IUDs and their prevention. In:Female Contraception, RunnebaumB., RabeT. and KieselL. eds., Springer Verlag, Berlin-Heidelberg, pp. 213–324
RhemrevP.E.R., VanOsW.A.A., EdelmanD.A. and BadrawiH.H. (1988). Medical removals of the Multiload IUD.Adv. Contracept.,4, 125–130
TietzeC. and LewitS. (1975). Recommended procedures for the statistical evaluation of intra-uterine contraception.Studies in Family Planning. New York, The Population Council,4, no. 2, 35–41
Van DerPasH., ThieryM., VanOsW., VanKetsH., DombrowiczN., TauberP.F. and BoogersW. (1977). MLCu250 im Vergleich zu anderen intrauterinen kontrazeptiven Mitteln.Arch. Gynäk.,224, 35–36
ThieryM., Van DerPasH., VanOsW., TauberP., DombrowiczN., MacDonaldJ., HaspelsA., DrogendijkA., VanKetsH. and BoogersW. (1978). Three years' experience with the MLCu250, a new copper-wired intrauterine device.Adv. Plann. Parent.,13, 35–40
Van Kets, H. (1979). Multiload intra-uterine contraceptive device. In:Medicated IUD's and Polymedic Delivery Systems, Hafez, E.S.A. and Van Os, W.A.A., eds. Proc. Int. Symp. Amsterdam, abstract no. 12
VanKetsH., ThieryM., Van DerPasH., DelbekeL., VanOsW.A.A., TauberP.F., DombrowiczN., MacDonaldJ.S., HaspelsA.A. and DrogendijkA.C. (1980). Interim insertion of the MLCu250 intrauterine contraceptive device.Contracept. Deliv. Syst.,1, 149–154
ThieryM., Van DerPasH. and VanKetsH. (1982). A shortened model of the standard MLCu250 IUD is available. How does it compare with the standard model?T. Geneesk.,38, 413 (1p.)
Thiery, M., Van Kets, H., Van Der Pas, H., Van Os, W. and Dombrowicz, N. (1982). The MLCu250: clinical experience in Belgium and The Netherlands.Br. J. Obstet. Gynaecol.,suppl. 4 (Sept.), 51–53
ThieryM., Van DerPasH. and VanKetsH. (1984). The MLCu375, a new IUD.T. Geneesk.,40, 1415–1416 (Dutch)
ThieryM., Van DerPasH. and VanKetsH. (1985). The MLCu375 IUD.Adv. Contracept.,1, 37–44
ThieryM., Van DerPasH., BeerthuizenR. and VanKetsH. (1986). Five years experience with the MLCu375 IUD.T. Geneesk.,42, 179–183 (Dutch)
ThieryM., Van DerPasH., DelbekeL. and VanKetsH. (1979). Postpartum insertion of a copper-wired intrauterine device, the MLCu250.Br. J. Obstet. Gynaecol.,86, 654–658
ThieryM., VanKetsH. and Van DerPasH. (1985). Immediate post-placental IUD insertion: the expulsion problem.Contraception,31, 331–349
SoepronoR. (1988). Extended use of the multiload Cu250.Adv. Contracept.,4, 109–113
SkjeldestadF.E. (1985). Return of fertility after removal of Nova-T, ML250 and ML375 IUD.Adv. Contracept.,1, 214 (1p.)
SkjeldestadF.E. and BrattH. (1988). Fertility after complicated and non-complicated use of IUDs.Adv. Contracept.,4, 179–184
WilsonJ. (1987). A New-Zealand study of fertility after IUD use.Adv. Contracept.,3, 191 (1p.)
SoepronoR. (1988). Return to fertility after discontinuation of copper IUD use.Adv. Contracept.,4, 95–107
VanOsW.A.A. and EdelmanD.A. (1988). Fifteen years' experience with the multiload IUD.Adv. Contracept.,4, 165–178
DefoortP. and ThieryM. (1981). Infection and the IUD.Contracept. Deliv. Syst.,2, 101–108
VerheugenC., DhontM., ThieryM., VandekerckhoveD. and DefoortP. (1982). P.I.D.T. Geneesk.,38, 975–982 (Dutch)
ClaeysG., ThieryM., VerschraegenG., PiotP., DeromR., VanKetsH., ParewijckW. and DefoortP. (1987). Natural evolution of the colonisation withGardnerella vaginalis and bacterial vaginosis during and after pregnancy.T. Geneesk.,43, 75–78 (Dutch)
ClaeysG., VerschraegenG., SoeteF., DobbelareJ., VerstraeteK., BotsJ., VerhofstadtK., KleinK., MakR. and ThieryM. (1987).Mycoplasma hominis, Ureoplasma, Gardnerella vaginalis and bacterial vaginosis in different populations.T. Geneesk.,43, 79–86 (Dutch)
TatumH.J. and ConnellE.B. (1986). A decade of intrauterine contraception 1976–1986.Fertil. Steril.,46, 173–192
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Van Kets, H.E., Thiery, M., Van Der Pas, H. et al. Long-term experience with Multiload intrauterine devices. Adv Contracept 5, 179–188 (1989). https://doi.org/10.1007/BF01849361
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01849361