Side effects from the copper IUD: do they decrease over time?

Side effects from the copper IUD: do they decrease over time?
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DOI:
10.1016/j.contraception.2008.11.012
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发表时间:
2009-05
期刊:
影响因子:
2.9
通讯作者:
Park S
Park S
中科院分区:
医学3区
文献类型:
--
作者:
Hubacher D;Chen PL;Park S

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铜宫内节育器(IUD)可能会导致一些妇女的副作用;子宫出血和疼痛增加可能会导致早期取出。由于以前研究的简化报告,人们对副作用如何随时间变化知之甚少。这是对1,947名首次使用铜IUD用户的前瞻性研究的二次分析。在一年的时间里,我们收集了关于副作用的详细信息,并使用广义混合效应回归模型寻找趋势。月经期间,大多数出血和疼痛副作用随时间推移而减少(p <0.05)。在月经间期,总的斑点和疼痛投诉保持不变,但这些问题的天数增加(p <0.05)。严重的副作用,促使无论是诊所访问或宫内节育器拆除有不同的模式随着时间的推移,这取决于问题的类型。铜宫内节育器的副作用可能会困扰用户和临床医生。有些问题会随着时间的推移而改善,而另一些则不会。这些信息可能有助于咨询正在考虑使用宫内节育器的妇女,以及由于副作用而考虑取出宫内节育器的当前用户。
The copper intrauterine device (IUD) can cause side effects in some women; increased uterine bleeding and pain may cause early removal. Because of simplified reporting from previous research, little is known about how side effects might change over time. This is a secondary analysis of a prospective study of 1,947 first-time copper IUD users. Over a one year period, we collected detailed information on side effects and looked for trends using generalized mixed effects regression modeling. During menses, most bleeding and pain side effects were found to decrease over time (p <0.05). During intermenstrual intervals, overall spotting and pain complaints remained unchanged, but number of days with these problems increased (p <0.05). Serious side effects that prompted either a clinic visit or IUD removal had a varied pattern over time, depending on the type of problem. Side effects from the copper IUD can be troubling for both user and clinician. Some problems improve over time while others do not. This information may be helpful to counsel women who are considering an IUD and to current users who are contemplating removal due to side effects.
DOI: 10.1016/0010-7824(88)90037-6
发表时间: 1988-08-01
期刊: CONTRACEPTION
影响因子: 2.9
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