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Saremi A. Rotating Withdrawal as an Effective Technique to Decrease Complications of IUD. SJRM. 2017; 1 (1) :15-19
URL: http://saremjrm.com/article-1-33-en.html
“Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran , saremiat@yahoo.com
Abstract:   (2934 Views)

Aims: The use of intrauterine devices (IUDs) has been one of the most effective, the safest and cost-effective methods for preventing pregnancy, for a long time. However, some complications have been reported for IUDs. The complications may be reduced by using a specific technique for placement of IUD. The objective of this study was to introduce the rotating withdrawal technique for the first time, which was investigated to reduce the complications of IUD insertion.
Materials & Methods: This historical cohort study was conducted on 1199 females who referred to Sarem Medical Center for IUD insertion from 1984 to 1995. After primary examinations, IUD was inserted by rotating withdrawal technique. The subjects were followed up for 2 years.
Findings: Displacement was observed just in 20 cases (1.67%). All of them were seen in the first month after placement. For these cases, IUD insertion was done again. After the second replacement, displacement was observed in 4 cases (0.035%) after one month. Therefore, it was recommended to them to use another preventive method. There was no pregnancy or displacement in the other cases during 2 years.
Conclusion: The rotating withdrawal technique can minimize the pregnancy rate when IUD is used. In addition to the type and quality of IUD, insertion method of IUD can increase its effectiveness. 

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Article Type: Original Research | Subject: Reproduction
Received: 2015/09/23 | Accepted: 2016/01/5 | Published: 2017/02/21

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