Abstract
Objectives: To present the experience of family planning providers and clients in the UK with the GyneFix® intrauterine implant device.Method: Audit of 138 GyneFix insertionsat the Ella Gordon Family Planning Unit in Portsmouth, from 1997 to 1999.Results: Of 138 attempts at GyneFix insertion, 134 were successful. Forty per cent were inserted in nulliparous women.The removal rate was 15%, half of which were due to unacceptable side-effects. The expulsion rate was 8% ranging over a period of a few days to 12 months after insertion. There were no reported perforationsor accidental pregnancies with GyneFix in situ in this series. There were no reported pregnancies as a result of unnoticed expulsion.Conclusions: The results obtained in this study areminimal estimates obtained from a retrospective analysis. The numbers are small but they are comparable to results reported from other family planning centers in the UK. Although GyneFix clearly has a usefulrole, there is a need for a large-scale prospective randomized study to establish the benefits and potential disadvantages of the GyneFix device.
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