Ein Mittel zur Verhütung der Konzeption

Richter, R.

doi:10.1055/s-0029-1201695

Cited by 47 publications

(11 citation statements)

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“…The work began examining IUDs from the introduction by Richter in 1909 [4], and Pust in 1923 [5]. Data from living subjects was not involved and there was no requirement for ethical consideration for data but ethical approval and patient consent for reproduction of clinical graphics was obtained.…”

Section: Methodsmentioning

confidence: 99%

Prevention of intrauterine contraceptive device expulsion and intolerance: Determination of the anchor mechanism

Goldstuck¹,

Wildemeersch²

2017

Clin Obstet Gynecol Reprod Med

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Objective: The intrauterine device (IUD) is an important long-acting reversible contraceptive method (LARC) which plays a major role in contraception. Expulsion and intolerance because of pain and/or bleeding are two factors which limit more widespread use. IUDs have to form some type of 'anchor', which must be well tolerated in order not to be expelled and not cause problems as might any other intrauterine object. We considered how an IUD might behave in comparison to a physiological or pathological intra-uterine body. Methods:We reviewed historical and present day IUDs on a three point rating scale of i) flexibility ii) horizontal to vertical ratio and iii) percentage increase in size of the IUD over mean cavity measurements to determine an Anchor Index(AI) to separate the types of anchor methods the various devices employ. Results:The AI generally varied from 3-7 in multiparous women signifying a marginally 'physiological' fit. The AI was mainly above 5 for most IUDs in nulliparous women indicating a largely non-physiological ('pathological' type) fit. Conclusions:The structure, composition and design of most IUDs are still not optimal for the nulliparous and occasionally the multiparous endometrial cavity. IUD design should be such that they appear to the endometrial cavity to be a physiological rather than a pathological incumbent.

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Section: Methodsmentioning

confidence: 99%

Prevention of intrauterine contraceptive device expulsion and intolerance: Determination of the anchor mechanism

Goldstuck¹,

Wildemeersch²

2017

Clin Obstet Gynecol Reprod Med

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“…In the late nineteenth century, intracervical devices have been used to prevent pregnancy or to induce abortion [3]. Still, the first medical communication on medical IUD was published in Germany, at the beginning of the twentieth century by Richter [4], who reported the results of intrauterine insertion of a metallic ring with catgut tied around it. In the 1920s, Ernest Graefenberg attached a silver wire to the ring for Roentgen visualization, but silver rings were rapidly abandoned as they led to gingival argyrosis.…”

Section: History Of Iudsmentioning

confidence: 99%

Birth Control and Family Planning Using Intrauterine Devices (IUDs)

Gabriel¹,

Tudorache²,

Vlădăreanu³

et al. 2018

Family Planning

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Intrauterine devices (IUDs) represent one of the most important methods used for contraception. The methods vary in terms of efficiency, acceptability, costs, and potential complications. Early methods have been improved, and ultrasound (US) evaluation has become an important tool to diagnose the clear majority of IUDs complications. This chapter presents a comprehensive and up-to-date status regarding the use of intrauterine devices (IUDs) for birth control and family planning. The topics discussed in the manuscript will involve the current knowledge on the history, types, mechanisms, health benefits, and risks. More, the present paper presents the medical techniques for inserting and removing a IUD, and the role of US to confirm proper IUD placement. Also, this chapter offers practical guidance in managing problems of continuing users and discusses the clinical circumstances that require reconsideration of the contraception methods.

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“…Dr Richard Richter of Poland made and described the first ever intrauterine contraceptive device (IUCD) in Germany in 1909 1. His IUCD was rather primitive; it was a ring made of silkworm gut with two ends which protruded out from the cervical os.…”

Section: Introductionmentioning

confidence: 99%

“Fungating” tumour? No, it’s bacterial!

et al. 2019

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A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. An intrauterine contraceptive device (IUCD) was noted. In light of the CT findings, she underwent a diagnostic laparoscopy. As the inflammatory mass was not separable from the transverse colon, a segmental transverse colectomy was proceeded. The histology revealed multiple actinomycosis abscesses in the mesentery. Subsequently, we learnt that her IUCD had been in situ for the last 7 years, and the source of actinomycosis abscesses is likely from her IUCD. The patient was recommended to have the coil removed and commenced on a 6 months course of amoxicillin.

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Ein Mittel zur Verhütung der Konzeption

Cited by 47 publications

References 0 publications

Prevention of intrauterine contraceptive device expulsion and intolerance: Determination of the anchor mechanism

Prevention of intrauterine contraceptive device expulsion and intolerance: Determination of the anchor mechanism

Birth Control and Family Planning Using Intrauterine Devices (IUDs)

“Fungating” tumour? No, it’s bacterial!

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