A COMPARATIVE TRIAL OF COPPER T 380 AND Cu 375 IUCD

Authors

  • Shazia A Khan
  • Zain Ul Amin
  • Fouzia Fouzia
  • Samina Jadoon

Abstract

Background: The IUCD, primarily in the form of copper IUD is used by more than 150 millionwomen around the world, making it the most widely used reversible method of contraception. Theobjective of this study is to do double blind clinical trial to compare the side effects of Copper-T and Cu375 IUCD in women using contraceptive method and had used no contraception before. Method: Atotal of 80 women of reproductive age group who are sexually active and who wanted to practice somecontraceptive method were included in the study. After filling Performa speculum examination wasalso done and all the contra indications for the fitting of IUCD were ruled out. Results: In thiscomparative study the effectiveness and side effects of two copper releasing IUCDs, Copper-T and Cu375 IUCD was observed. Pelvic inflammatory disease occurred more often with Cu 375 IUCD thanother group. Dysmenorrhoea was also experienced more with Cu 375 IUCD user than Copper-T.Menorrhagia rate was also high in Cu 375 IUCD users. The only case of uterine perforation was in theuser of Copper-T. Conclusion: It is concluded from this study that Copper-T is a highly effectivemethod of contraception than Cu 375 IUCD with good patient acceptance and lesser side effects.Keywords: Contraception, expulsion, PID

References

d’Areangues C. Worldwide use of intrauterine devices

for contraception. Contraception 2007;75(6 Suppl):S2–7.

Fischer W. 50-year record of scientifically founded use

of IUD – in memorian Ernst Grafenberg (author’s transl).

Zentralbl Gynakol 1979;101:929–32.

J Ayub Med Coll Abbottabad 2010;22(3)

http://www.ayubmed.edu.pk/JAMC/PAST/22-3/ShaziaKhan.pdf 187

Burnhill MS. The rise and fall and rise of the IUD. Am J

Gynecol Health1989;3(3-S):6–10.

Ota T. A study on the birth control with an intrauterine

instrument. Jpn J Obstet Gynecol 1934;17:210–4.

Cheng D. The intrauterine device: still misunderstood after all

these years. South Med J 2000;93:859–64.

Sai FT. Family planning and maternal health care: a common

goal. World Health Forum 1986;7:315–24.

Bromham D, Choosing and fitting an intrauterine

Contraceptive. Diplomat 1996;3(4):292–7.

Kjaer A, Laursen K, Thormann L, Borggaard O, Lebech PE.

Copper release from copper intrauterine devices removed after

upto 8 years of use. Contraception 1993;47:349–58.

Skajaa K, dorup-I, Skajaa I. Complications caused by

intrauterine contraceptive devices. Ugeskr Laeger

;152(41):3002–6.

Zhang J, Feldblum PJ, Chi IC, Farr MG. Risk factors for

Copper-T IUCD expulsion: an epidemiologic analysis.

Contraception 1992;46: 427–35.

Anwar M, Widayanto S, Maruo T, Mochizuki M. Return

of fertility after the removal of intrauterine devices: a

comparison of inert and copper bearing devices. Asia

Oceania J Obstet Gynaecol 1993;19(1):77–83.

Published

2010-09-01