Intrauterine contraception as an alternative to interval tubal sterilization

Grimes, David A.; Mishell, Daniel R.

doi:10.1016/j.contraception.2007.09.012

Cited by 39 publications

(17 citation statements)

References 31 publications

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“…Intrauterine devices (IUDs) have failed to regain popularity since their temporary withdrawal from the U.S. market during 1986-88, with incidence falling from 7% in 1982 to 1.3% in 2002 (59,60). We hypothesize that more recent increased use of IUDs may contribute to the observed changes in tubal sterilization prevalence, a trend already demonstrated in Europe.…”

Section: Alternative Permanent Sterilization Techniques and Long-actimentioning

confidence: 87%

Tubal sterilization trends in the United States

Chan

Westhoff

2010

Fertility and Sterility

145

106

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Section: Alternative Permanent Sterilization Techniques and Long-actimentioning

confidence: 87%

Tubal sterilization trends in the United States

Chan

Westhoff

2010

Fertility and Sterility

145

106

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“…The intrauterine device (IUD) is a highly effective contraceptive method equal in efficacy to tubal sterilisation and associated with lower rates of discontinuation when compared to other reversible methods 1 2. The IUD is used by approximately 15% of reproductive-aged women in developing countries and 8% in developed countries 3…”

Section: Introductionmentioning

confidence: 99%

Lidocaine 10% spray to the cervix reduces pain during intrauterine device insertion: a double-blind randomised controlled trial

Aksoy

Ozyurt

et al. 2015

J Fam Plann Reprod Health Care

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ObjectiveFear of pain during intrauterine device (IUD) insertion can be a barrier to widespread use of this safe and highly effective contraceptive method. Our objective was to determine the effectiveness of topical 10% lidocaine spray for pain control during IUD insertion.MethodsA total of 200 subjects with the request for IUD insertion were included in the study. The patients were randomly divided into two groups: lidocaine spray (n=100) and placebo (n=100). The pain experienced during the procedure was measured immediately after insertion by a standard Visual Analogue Scale (VAS) administered by a separate researcher with maintenance of allocation concealment.ResultsThe mean pain score during the procedure was 1.01±1.20 in the lidocaine spray group and 3.23±1.60 in the placebo spray group (p<0.001). Lidocaine spray treatment significantly lowered the overall procedural pain score compared with placebo.ConclusionsSignificant pain reduction during IUD insertion can be achieved by using 10% lidocaine spray alone. Lidocaine spray can be accepted as a non-invasive, easy to apply and more comfortable local anaesthetic method for IUD insertion.Trial registration numberNCT02020551.

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“…Although there are mixed opinions among researchers and women about the suitability of LARCs as an alternative to sterilization for women who have achieved their desired family size (Grimes & Mishell Jr, 2008;Marasinghe & Wijeyaratne, 2008;Vancaillie, 2013;White et al, 2013), the popularity of the IUD in this sample supports its potential as an acceptable alternative to sterilization. Indeed, 25% to 35% of women using or interested in LARCs reported a reason for interest was not wanting any more children, suggesting that women are already using LARCs to end, rather than to space, childbearing.…”

Section: Discussionmentioning

confidence: 63%