Intrauterine Contraception In Diabetic Women

Effectiveness, Safety, and Acceptability of a Copper Intrauterine Device (CU Safe 300) in Type I Diabetic Women

“…In our study, < 100 women were included so that classic rates (events/100 women-yr, i.e., Pearl index) could only be extrapolated, and CIs for rates as determined by life table analysis were wide. Nevertheless, we suggest that, despite the small number of participants, our results give valid new information about the long-term use of copper-medicated IUDs in diabetic women, because the cumulative time of use of 1754 mo was longer than that evaluated in any of the four previous studies on IUD use in diabetic women (9)(10)(11)(12).…”

“…In our study, most patients, including the two patients who became pregnant, were in good to moderate glycemic control. Data on glycemic control in the other studies are not given or are inconclusive (9)(10)(11)(12). Obviously, based on these data, the issue whether the level of glycemic control has any influence on the efficacy of lUDs in diabetic women cannot be resolved.…”

“…However, studies that investigated IUDs with high copper-releasing capacity in populations not exposed to an increased risk for sexually transmitted diseases have, if at all, found only a slightly increased risk for PID and an excellent outcome for subsequent fertility, even in women in whom the IUD had been removed because of complications (3,5,15). Moreover, none of the studies examining intrauterine contraception in diabetic women compared with nondiabetic women showed an excess incidence of PID in diabetic women (9)(10)(11)(12). In fact, in our study, no case of PID was diagnosed, and in the study of Skouby et al (12), one single case of PID as judged by clinical methods was diagnosed.…”

“…Widespread belief exists that diabetic women are more prone to pelvic infections associated with IUD use than nondiabetic women (8). So far, no studies have evaluated the safety and efficacy of IUDs in diabetic women beyond 1 yrofuse (1,(9)(10)(11)(12).…”

The Intrauterine Device in Women with Diabetes Mellitus Type I and II: A Systematic Review

“…Wiese later reported different results [5]. Then in 1979 Steel and colleagues in Scotland reported that in their clinic 8 out of 22 IDDM IUD users had become pregnant [6] and afterwards reported that 11 out of 30 were now pregnant of which 5 were using the copper 7, 5 the Saf-T-Coil, and one a Dalkon Shield IUD [7].…”