Evidence against tailstrings increasing the rate of pelvic inflammatory disease among IUD users

Ebi, Kristie L.; Piziali, Robert L.; Rosenberg, Michael J.; Wachob, Harry F.

doi:10.1016/0010-7824(95)00253-7

Cited by 11 publications

(2 citation statements)

References 15 publications

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“…PID is highly associated with younger age of coitarche, multiple sexual partners, nonuse of barrier contraception, and infection with chlamydia or gonorrhea. 7,8 Case-controlled studies have shown an association between vaginal douching and PID. 6 Modern IUDs do not seem to increase the risk of development of PID beyond the risk associated with insertion of the device.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

Pathogenesis, Diagnosis, and Management of Severe Pelvic Inflammatory Disease and Tuboovarian Abscess

Chappell

Wiesenfeld

2012

Clinical Obstetrics &Amp; Gynecology

122

115

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Severe pelvic inflammatory disease and tuboovarian abscesses (TOAs) are common pelvic infections requiring inpatient admission. There are few large randomized trials guiding appropriate clinical management of TOA, including antibiotic selection and timing of surgical management and drainage. The pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and TOA are summarized and reviewed from the most current literature.

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Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

Pathogenesis, Diagnosis, and Management of Severe Pelvic Inflammatory Disease and Tuboovarian Abscess

Chappell

Wiesenfeld

2012

Clinical Obstetrics &Amp; Gynecology

122

115

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“…Current IUDs may decrease the risk for PID due to biocidal affects of copper [60] [61] and the thickening of cervical mucus preventing ascending infection when progesterone is imbedded in the IUD [62]. The high infection rate due to the wicking effect and deterioration of the Dalkon Shield's multifilament nylon tail string, has not been seen in modern IUDs with monofilament polypropylene tail strings [63].…”

Section: Comeback Of the Iud (At Least The Science)mentioning

confidence: 99%

Long Tail Strings: Impact of the Dalkon Shield 40 Years Later

Roepke¹,

Schaff²

2014

OJOG

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Intrauterine devices (IUDs) are the most effective, reversible and longest acting birth control method. They require no effort for compliance and avoid systemic synthetic hormones. Evidencebased effectiveness and safety studies have demonstrated IUDs rival sterilization. IUDs low cost make them the most popular method worldwide. Despite these benefits, IUDs have minimal market penetration in the United States where they are expensive, disparaged by an older generation of physicians, and withheld from teenagers, nulliparous women, and women not in mutually monogamous relationships, i.e., those who would most benefit. This article reviews the nearly forgotten history of the IUD that resulted in broadening the Food and Drug Administration's oversight of medical devices, brought needed transparency to physicians' conflicts of interests, uncovered a corporate scandal with a whistleblower that led to a major pharmaceutical bankruptcy, and involved 327,000 women (though only 195,000 met strict criteria for claims) in the largest US personal injury case.

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Use of the Mirena™ LNG-IUS and Paragard™ CuT380A intrauterine devices in nulliparous women

2010

Contraception

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Evidence against tailstrings increasing the rate of pelvic inflammatory disease among IUD users

Cited by 11 publications

References 15 publications

Pathogenesis, Diagnosis, and Management of Severe Pelvic Inflammatory Disease and Tuboovarian Abscess

Pathogenesis, Diagnosis, and Management of Severe Pelvic Inflammatory Disease and Tuboovarian Abscess

Long Tail Strings: Impact of the Dalkon Shield 40 Years Later

Use of the Mirena™ LNG-IUS and Paragard™ CuT380A intrauterine devices in nulliparous women

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