Real-world experience with the IUB Ballerine MIDI copper IUD: an observational study in the French-speaking region of Switzerland

Yaron, Michal; Viviano, Manuela; Guillot, Cécile; Aharon, Arnon; Shkolnik, Ketty

doi:10.1080/13625187.2019.1618447

Cited by 10 publications

(13 citation statements)

References 20 publications

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“…Twelve studies (18 publications) report data for LNG-IUDs, either from single-arm studies, studies comparing the timing of placement of the device (three studies) or a study comparing two LNG dose levels [ 11 – 20 , 25 – 32 ]. Ten studies (10 publications) report data for Cu-IUDs, including two comparing two different devices [ 33 – 42 ]. A further eight publications describe the results of eight studies comparing an LNG-IUD with a Cu-IUD [ 43 – 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the studies including Cu-IUDs (n = 26), only three specifically reported on bleeding patterns [ 33 – 35 ]. Yaron et al [ 33 ] reported that 42% of women had heavy blood flow and 56% had moderate blood flow using the Ballerine MIDI IUD; and according to Bateson et al [ 35 ], 43% of women were bothered by heavy bleeding and 35% reported being bothered by prolonged bleeding after using a T-framed Cu-IUD for 12 months. A further study reported a reduction in post-placement bleeding over the first 5 months from insertion of the CuT380A, as assessed using the Pictorial Blood Assessment Chart [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Rates of discontinuation overall or for bleeding were reported in 18 publications (14 studies) for women using LNG-IUDs [ 11 – 15 , 17 – 19 , 25 – 27 , 29 – 31 , 54 , 56 – 58 ], 10 publications (10 studies) for women using Cu-IUDs [ 33 – 42 ] and 14 publications (14 studies) reporting comparative data for the two types of IUDs [ 22 – 24 , 43 – 50 , 52 , 53 , 55 ] (see Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Ten publications (10 studies) reported rates of discontinuation/removal of Cu-IUDs for any reason [ 33 – 42 ], with rates from individual studies ranging from approximately 10% at 6 months in two studies [ 34 , 40 ] to approximately 16–32% at 1 year in five studies [ 33 , 35 , 38 , 41 , 42 ] and 40% at 2 years and 3 years in two studies [ 35 , 41 ]. Lower rates were reported for the VeraCept175 and Mini TT380 Slimline in two comparative studies, with 12-month rates being 16% [ 41 ] and 15% [ 42 ], respectively, for these Cu-IUDs compared with 32% for CuT380A.…”

Section: Resultsmentioning

confidence: 99%

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Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review

Costescu

Chawla²,

Hughes³

et al. 2022

BMC Women's Health

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Objective Levonorgestrel-releasing intrauterine devices (LNG-IUDs) and copper intrauterine devices (Cu-IUDs) offer long-acting contraception; however, some women may discontinue use within the first year due to bleeding pattern changes, limiting their potential. This systematic literature review investigated whether differences in bleeding profiles influence continuation rates in women in America, Europe and Australia. Methods Searches performed in PubMed and Embase were screened to identify publications describing bleeding patterns and rates of early IUC removal/discontinuation or continuation, descriptions of bleeding patterns, reasons for discontinuation, and patient satisfaction, acceptability and tolerability for LNG-IUDs and Cu-IUDs published between January 2010 and December 2019. The results were further restricted to capture citations related to ‘Humans’ and ‘Females’. The review was limited to studies published from 2010 onwards, as changing attitudes over time mean that results of studies performed before this date may not be generalizable to current practice. Results Forty-eight publications describing 41 studies performed principally in the USA (n = 17) and Europe (n = 13) were identified. Publications describing bleeding patterns in LNG-IUD users (n = 11) consistently observed a reduction in bleeding in most women, whereas two of three studies in Cu-IUD users reported heavy bleeding in approximately 40% of patients. Rates of discontinuation for both devices ranged widely and may be as high as 50% but were lower for LNG-IUDs versus Cu-IUDs. Discontinuation rates due to bleeding were consistently higher for Cu-IUDs versus LNG-IUDs. Conclusions Bleeding is a common reason for discontinuation of Cu-IUDs and LNG-IUDs. The more favourable bleeding pattern observed in LNG-IUD users may be associated with a lower rate of early discontinuation of LNG-IUDs versus Cu-IUDs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review

Costescu

Chawla²,

Hughes³

et al. 2022

BMC Women's Health

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“…Two cross-sectional user surveys performed in Switzerland and Israel have demonstrated consistently high device effectiveness, safety and tolerability [12,13]. The present retrospective analysis of the data accumulated during the two studies, sought to add to the current data on non-hormonal IUDs by providing a point-in-time pro le of satisfaction and experience ratings of the 382 users, covering a broad range of ages, cultures, socioeconomic statuses, gynecological histories treated by 19 physicians in different healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

Real-World Experience Using the IUB Ballerine MIDI Copper IUD: A Multicenter, Multinational Observational Study

Yaron

Baram

Peled

2020

Preprint

Self Cite

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Objective: The aim of the study was to assess efficacy, safety and patient acceptability of the intrauterine ball (IUB) Ballerine MIDI copper intrauterine device (IUD), using real-world data collected from users and physicians.Study design: Retrospective analysis of two cross-sectional survey studies conducted in seven private clinics in Israel or Switzerland, and in one Swiss hospital between January and October 2018. Participants were healthy women who had the non-hormonal IUB Ballerine MIDI inserted >12 months before enrolment. In total, 382 participants and their 19 physicians completed questionnaires relating to device insertion, user experience and performance.Results: Mean age at insertion was 31.8±7.1 years, the survey was answered 16.0±4.7 months following IUB insertion. Most women were married (56.8%) and multigravid (83.5%). In 20 (5.2%) cases premature removal was due to desire to conceive. Excluding these women, the >12-month continuation rate was 71%. The expulsion rate was 17 (4.5%) and pregnancy rate was 4 (1.1%). The IUB was associated with high tolerability, 31% of current users reported no menstrual cramps/pain or light (34%) to moderate (20%) dysmenorrhea. The majority of women (69%) reported moderate to high satisfaction with the device, and 79% said they would recommend it to friends and relatives. Physicians reported in 87% of procedures the device was simple to deploy, with no difficulties encountered.Conclusions: The IUB Ballerine MIDI was demonstrated to be safe, effective and highly accepted in a cohort of women in different clinical settings and among a socioeconomically and demographically diverse population of contraception seekers.

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Benefits and limitations of nonhormonal contraception

Segerer,

Böttcher

2023

Gynäkologie

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ZusammenfassungNichthormonelle Kontrazeptiva sind in den letzten Jahren zunehmend gefragt. Spitzenreiter ist dabei das Kondom, welches zu den Barrieremethoden gehört. Auch Methoden der natürlichen Familienplanung, Intrauterinpessare und operative Methoden (Sterilisation, Vasektomie) gehören zur nichthormonellen Kontrazeption. Die Effektivität der Barrieremethoden und auch der Methoden der natürlichen Familienplanung hängt dabei stark von der konsistenten und korrekten Anwendung ab, während die Einlage von intrauterinen Pessaren oder operative Methoden unabhängig von der Anwendung sind und diese Methoden somit auch eine hohe kontrazeptive Effektivität besitzen. Wichtig ist eine individuelle Beratung vor Wahl der kontrazeptiven Methode, welche die aktuelle Lebenssituation der Anwender:innen, die kontrazeptive Effektivität, mögliche gesundheitliche Risiken und die Akzeptanz der Methode berücksichtigt.

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Real-world experience with the IUB Ballerine MIDI copper IUD: an observational study in the French-speaking region of Switzerland

Cited by 10 publications

References 20 publications

Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review

Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review

Real-World Experience Using the IUB Ballerine MIDI Copper IUD: A Multicenter, Multinational Observational Study

Benefits and limitations of nonhormonal contraception

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