Abstract
Contraceptive intrauterine device (IUD) is a successful method of contraception which has been used for more than 30 years. The objectives of our study were to evaluate the correlation between abnormal uterine bleeding in IUD users and uterine artery Doppler [pulsitility index (PI); Resistant index (RI)] using transvaginal ultrasound and Doppler. The study included 120 women from obstetrics and gynecology department Hospital. ,divided into three groups: Group I included forty female using coipper intrauterine device withbleeding Group II included forty female using CIUD without bleeding. Group III included forty ladies as a control group. All fullfil the inclusion and exclusion criteria History was obtained. Examination was done: Routine investigations: The Results Of This Work Were:- As regard to Doppler findings, it was noted that RI was significantly lower in group I in comparison to group II and group III and Pulsitility index (PI) followed the same pattern as RI. We can conclude that detection of PI and RI in the uterine artery could be used to identify patients at risk of developing excessive bleeding after copper IUD insertion.
Highlights
The Intrauterine Device (IUD) is the most widely used reversible form of contraception in the world [1]
- Group III included 40 women complaining of vaginal discharge or requesting copper intrauterine device (CIUD) insertion, and not complaining of abnormal uterine bleeding as a control group
Measurements of dimension of the uterus sections were performed in addition to comment on: (a) Position. (b) Endometrial thickness measured in sagittal section. (c) Myometrial fibroids or adenomyosis. (d) Endometrial polyps, thickness and irregularities. (e) Adnexa and any abnormalities as ovarian cysts. (f) Comment on IUCD: including site, displacement, partial expulsion, partial perforation, embedding: i) The IUCD was detected by its echogenicity compared to the normal endometrium
Summary
The Intrauterine Device (IUD) is the most widely used reversible form of contraception in the world [1]. Ultrasound is the imaging modality+ of choice for the female pelvis It is widely available, has broad acceptance by patients and is relatively inexpensive. Color Doppler ultrasonography to confirm the hypothesis that CIUDinduced bleeding is secondary to an increase in the uterine blood flow (as indicated by decreased PI and RI in uterine artery). They constructed the ROC curves for PI and RI to choose the cutoff values for discriminating between women using CIUD and complaining of menorrhagia or menometrorrhagia and women using CIUD and not complaining of abnormal uterine bleeding. In the first case (PI) they obtained a ROC area of 0.829 and we chose 2.07 as the cutoff point, the value of Auctores Publishing – Volume 4(4)-067 www.auctoresonline.org ISSN:2642-9756
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