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Clinical and Ultrasonographic Predictors of IUD Related Complications
Sponsor: Cairo University
Summary
* All patients fulfilling the selection criteria undergo complete clinical examination and detailed medical history obtained. Each patient had a Case Record Form (CRF) recording participants' name. number, previous deliveries and abortions, age, height, weight, BMI, LMP, past medical and surgical history and contraceptive history. * All participants will be subjected to transvaginal ultrasound to measure uterine size, endometrial and myometrial thickness, uterine position, cervical length, cervical diameter and for detection of any contraindications for IUD insertion. Power Doppler Energy (PDE) measurement for subendometrial microvascularization will be done and categorized as women with minor subendometrial vascularization (Classifications I and II) and major subendometrial vascularization (Classifications III, IV and V)
Official title: Clinical and Ultrasonographic Predictors of IUD Related Complications: A Prospective Cohort Study
Key Details
Gender
FEMALE
Age Range
20 Years - 41 Years
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2025-02-01
Completion Date
2026-02
Last Updated
2025-03-18
Healthy Volunteers
No
Conditions
Interventions
IUD insertion
* Perform a bimanual examination * Insert a warm, moistened speculum. * Cleanse the cervix with an antiseptic solution. * Open the sterile insertion instruments without touching * Remove the tenaculum by its handle and grasp the anterior or posterior lip of the cervix. * Apply gentle traction with the tenaculum to straighten the canal. * Remove the sound by its handle and gently insert it to measure the depth of the uterus. Do not apply great force if there is resistance. Apply further traction to the tenaculum and attempt to re-insert the sound at a different angle. Once the sound is inserted and removed * Open the IUD pack without touching its contents. * Put on sterile gloves. * Load the IUD and insert it into the uterine cavity according to the manufacturer instructions. * Gently remove the tenaculum. * Trim the strings of the IUD to 3-4 cm in length * Remove the speculum and assess the woman.
Locations (1)
Kasr Alainy medical school
Cairo, Egypt