Abstract
Abstract Objective To test the hypothesis whether initial uterine artery pulsatility index (PI) and resistance index (RI) before insertion of copper-T 380 intrauterine contraceptive device (IUCD) could predict IUCD-related heavy menstrual bleeding or not. Methods This prospective observational study was conducted on 332 women who requested insertion of copper IUCD. Uterine artery PI and RI were measured before insertion and repeated at 3 and 6 months after IUCD insertion. Participants were divided into two groups according to their menstrual calendar and hemoglobin concentration; Normal bleeding group (n = 188) and heavy menstrual bleeding group (n = 144). Receiver-operating characteristic (ROC) curve analysis was used to evaluate the prognostic value of uterine artery PI and RI in prediction of IUCD-related heavy menstrual bleeding. Results Uterine artery Doppler indices does not show significant change 3 and 6 months after IUCD insertion in both groups (p > .05). Uterine artery PI Conclusion Initial uterine artery Doppler studies could be beneficial as a predictor of IUCD related heavy menstrual bleeding and should be implemented during counseling of women desiring long acting reversible contraception.
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