Use of intrauterine devices in women with uterine anatomic abnormalities

Naomi K Tepper; Lauren B Zapata; Denise J Jamieson; Kathryn M Curtis

doi:10.1016/j.ijgo.2009.10.022

Use of intrauterine devices in women with uterine anatomic abnormalities

Int J Gynaecol Obstet. 2010 Apr;109(1):52-4. doi: 10.1016/j.ijgo.2009.10.022. Epub 2010 Jan 19.

Authors

Naomi K Tepper¹, Lauren B Zapata, Denise J Jamieson, Kathryn M Curtis

Affiliation

¹ Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. ntepper@cdc.gov

PMID: 20034627
DOI: 10.1016/j.ijgo.2009.10.022

Abstract

Objective: To examine the evidence regarding the safety and effectiveness of intrauterine devices (IUDs) in women with uterine abnormalities.

Methods: We searched PubMed for all peer-reviewed articles in any language that had been published on the topic from database inception to September 2009. Primary research articles were included if they addressed the safety or effectiveness of any type of IUD among women with Müllerian anomalies or uterine synechiae.

Results: In total, 19 case reports or case series met the inclusion criteria. Reported complications included expulsion, pregnancy, bleeding, perforation, and pain. In several case reports, no complications were reported.

Conclusion: Evidence concerning the safety and effectiveness of IUD use among women with uterine abnormalities is very limited.

Published by Elsevier Ireland Ltd.

Publication types

Review

MeSH terms

Female
Humans
Intrauterine Devices*
Uterus / abnormalities*