Abstract
Objective: To evaluate the efficacy, side-effects and acceptability of the Multiload Cu 375SL (MLCu 375SL IUD) used as emergency contraception (EC).
Method: Women who requested EC had a MLCu 375SL IUD inserted within 5 days after unprotected intercourse.
Results: Data from 515 subjects who completed the follow-up visits were analyzed. The majority were parous women (428, 83.1%). Most of the nulliparous women, 70 out of 87 (80.5%), had had a previous abortion. The efficacy rate was 92.40%. Two pregnancies were detected at the follow-up visits. One of them was considered to be a user failure. There were no failures in insertion procedure or no pelvic infections in either group. The common complaints were pain and bleeding. The removal rate in the nulliparous group (14.9%) was significantly higher than in the parous group (3.5%).
Conclusions: Insertion of a MLCu 375SL IUD within 5 days after unprotected intercourse provides an alternative emergency contraceptive method. It is more acceptable to parous women who plan to continue practicing contraception. It is important to provide careful counselling to clients and to emphasize that the insertion of the IUD must be within 5 days after unprotected intercourse in order to reduce the potential risk of pregnancy.
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References
Lippes J, Malik T, Tatum HJ et al. The post-coital copper-T. Adv Plann Parent. 1976:11:24–9.
Van Look P. Emergency contraception: history, efficacy, advantages and disadvantages. Symposium on Emergency Contraception and Implantation Research, Oct. 31 Nov. 1, 1996, Beijing, China.
Fasoli M, Parazzini F, Cecchetti G et al. Post-coital contraception: an overview of published studies. Contraception. 1989:39(4):459–68.
Hutchinson F. Experience at London Brook Advisory Centres. In: Pregnancy Advisory Service, Postcoital Contraception: Methods, Services and Prospects. London: PAS; 1983:40–2.
Dixon GW, Schlesselman JJ, Ory HW et al. Ethinyl estradiol and conjugated estrogens as postcoital contraceptives. J Am Med Assoc. 1980;244(12):1336–9.
Wang JD, Zhu PD, Cheng J et al. Ultrastructural comparative study on endometrium of Chinese women using intrauterine devices of stainless steel ring, copper T220, and releasing levonorgestrel: morphometry of microvessels. Contraception. 1990;41(4):389–97.
Wu ER, Yan WQ, Xiao BL et al. Effect of IUD on hormone profiles. Chin J Obstet Gynecol. 1986;21(1):31–4.
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Liying, Z., Bilian, X. Preliminary Analysis of a Multicenter Clinical Trial using Multiload Cu 375SL for Emergency Contraception. Advances in Contraception 14, 161–170 (1998). https://doi.org/10.1023/A:1006654229538
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DOI: https://doi.org/10.1023/A:1006654229538