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Original Research Articles

Experience of IUD/IUS insertions and clinical performance in nulliparous women–a pilot study

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Pages 248-254 | Published online: 06 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (14)

Isabella A. Chaves, Thaís Baêta, Gabriella B. Dolabella, Luma R. Barbosa, Natália M. Almeida, Flávia R. Oliveira, Elaine C. Oliveira, Agnaldo L. Silva-Filho & Ana Luiza Lunardi Rocha. (2021) Pain scores at the insertion of the 52 MG levonorgestrel-releasing intrauterine system among nulligravidas and parous women. The European Journal of Contraception & Reproductive Health Care 26:5, pages 399-403.
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Yesim Akdemir & Mustafa Karadeniz. (2019) The relationship between pain at IUD insertion and negative perceptions, anxiety and previous mode of delivery. The European Journal of Contraception & Reproductive Health Care 24:3, pages 240-245.
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Therese Foran, Belinda E. Butcher, Gab Kovacs, Deborah Bateson & Vivienne O’Connor. (2018) Safety of insertion of the copper IUD and LNG-IUS in nulliparous women: a systematic review. The European Journal of Contraception & Reproductive Health Care 23:5, pages 379-386.
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Nataliya Brima, Hannat Akintomide, Vivian Iguyovwe & Susan Mann. (2015) A comparison of the expected and actual pain experienced by women during insertion of an intrauterine contraceptive device. Open Access Journal of Contraception 6, pages 21-26.
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Dirk Wildemeersch, Norman Goldstuck, Thomas Hasskamp, Sohela Jandi & Ansgar Pett. (2015) Intrauterine device quo vadis? Why intrauterine device use should be revisited particularly in nulliparous women?. Open Access Journal of Contraception 6, pages 1-12.
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Hannat Akintomide, Nataliya Brima, Robert D. E. Sewell & Judith M. Stephenson. (2015) Patients’ experiences and providers’ observations on pain during intrauterine device insertion. The European Journal of Contraception & Reproductive Health Care 20:4, pages 319-326.
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Dirk Wildemeersch, Sohela Jandi, Ansgar Pett, Kilian Nolte, Thomas Hasskamp & Marc Vrijens. (2014) Use of frameless intrauterine devices and systems in young nulliparous and adolescent women: results of a multicenter study. International Journal of Women's Health 6, pages 727-734.
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R. H. Allen, M. S. Carey, C. Raker, V. Goyal & K. Matteson. (2014) A prospective cohort study of pain with intrauterine device insertion among women with and without vaginal deliveries. Journal of Obstetrics and Gynaecology 34:3, pages 263-267.
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Kristina Gemzell-Danielsson, Pirjo Inki & Oskari Heikinheimo. (2013) Safety and efficacy of the levonorgestrel-releasing intrauterine system: recent insights. Expert Review of Obstetrics & Gynecology 8:3, pages 235-247.
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Kirsten Black, Pamela Lotke, Kai J. Buhling & Nikki B. Zite. (2012) A review of barriers and myths preventing the more widespread use of intrauterine contraception in nulliparous women. The European Journal of Contraception & Reproductive Health Care 17:5, pages 340-348.
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Annie J. Middleton, Jeannette Naish & Nicola Singer. (2011) General practitioners' views on the use of the levonorgestrel-releasing intrauterine system in young, nulligravid women, in London, UK. The European Journal of Contraception & Reproductive Health Care 16:4, pages 311-318.
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Lena Marions, Lena Lövkvist, Annika Taube, Monica Johansson, Håkan Dalvik & Inger Øverlie. (2011) Use of the levonorgestrel releasing-intrauterine system in nulliparous women – a non-interventional study in Sweden. The European Journal of Contraception & Reproductive Health Care 16:2, pages 126-134.
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Articles from other publishers (51)

Fabiana C.Q.S. Anjos, Ana C. Marcelino, Ximena Espejo-Arce, Paula da C. Pereira, Priscila F. Barbosa, Cassia T. Juliato & Luis Bahamondes. (2023) Pain and ease of insertion of three different intrauterine devices in Brazilian adolescents: A participant-blinded randomized trial. Contraception 122, pages 109997.
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B. Branger, E. Priou & P. David. (2021) Dispositif intra-utérin au cuivre (DIUc) : comparaison de la tolérance et de l’efficacité chez des nullipares et des multipares sur 6 mois. Gynécologie Obstétrique Fertilité & Sénologie  49:12, pages 897-906.
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Lauren Abern, Chance Krempasky, Daniela Diego, Glendell De Guzman, Kristen Kiely, Jake Cook & Karla Maguire. (2021) The Intrauterine Device Experience Among Transgender and Gender‐Diverse Individuals Assigned Female at Birth. Journal of Midwifery & Women's Health 66:6, pages 772-777.
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Reham Refaat Elkhateeb, Eman Kishk, Ahmad Sanad, Haitham Bahaa, Abdel Rahman Hagazy, Kareem Shaheen, Enas Moustafa, Hahem Fares, Khalid Gomaa & Ahmad Mahran. (2020) The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study. BMC Women's Health 20:1.
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Kristina Gemzell‐Danielsson, Jeffrey T. Jensen, Ilza Monteiro, Tina Peers, Maria Rodriguez, Attilio Di Spiezio Sardo & Luis Bahamondes. (2019) Interventions for the prevention of pain associated with the placement of intrauterine contraceptives: An updated review. Acta Obstetricia et Gynecologica Scandinavica 98:12, pages 1500-1513.
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Paula J. Adams Hillard. (2019) Practical Tips for Intrauterine Device Counseling, Insertion, and Pain Relief in Adolescents: An Update. Journal of Pediatric and Adolescent Gynecology 32:5, pages S14-S22.
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Taylor H. DeBoer & Jennifer G. Hensley. (2018) Increasing Accessibility to Long-Acting Reversible Contraception in a Public Health Setting. Nursing for Women's Health 22:4, pages 302-309.
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Iliescu Dominic Gabriel, Ștefania Tudorache, Simona Vlădăreanu, Nuți Daniela Oprescu, Maria Cezara Mureșan, Roxana Cristina Drăgușin & Iuliana Ceaușu. 2018. Family Planning. Family Planning.
Ahmed M. Abbas. (2017) Comments on manuscript: Lidocaine for pain control during intrauterine device insertion. Journal of Obstetrics and Gynaecology Research 44:3, pages 588-588.
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Kristina Gemzell-Danielsson, Dan Apter, Eeva Lukkari-Lax, Katrin Roth & Marco Serrani. (2017) Overcoming barriers to levonorgestrel-releasing intrauterine system placement: an evaluation of placement of LNG-IUS 8 using the modified EvoInserter ® in a majority nulliparous population. Contraception 96:6, pages 426-431.
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Erin E. Tracy. (2017) Contraception. Obstetrics and Gynecology Clinics of North America 44:2, pages 143-158.
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Patricia A. Lohr, Richard Lyus & Sarah Prager. (2017) Use of intrauterine devices in nulliparous women. Contraception 95:6, pages 529-537.
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Sally Kelsey. (2016) Using the Health Belief Model to increase awareness of the intrauterine device as a post coital contraceptive. Practice Nursing 27:12, pages 584-589.
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K.M. Usinger, S.B. Gola, M. Weis & A. Smaldone. (2016) Intrauterine Contraception Continuation in Adolescents and Young Women: A Systematic Review. Journal of Pediatric and Adolescent Gynecology 29:6, pages 659-667.
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Dirk Wildemeersch, Thomas Hasskamp, Kilian Nolte, Sohela Jandi, Ansgar Pett, Sabine Linden, Maarten van Santen & Olivier Julen. (2016) A multicenter study assessing uterine cavity width in over 400 nulliparous women seeking IUD insertion using 2D and 3D sonography. European Journal of Obstetrics & Gynecology and Reproductive Biology 206, pages 232-238.
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Joanna M M Speedie, Diana Mansour, Rebecca Landy & Kathryn M Clement. (2016) A randomised trial comparing pain and ease of use of two different stabilising forceps for insertion of intrauterine contraception. Journal of Family Planning and Reproductive Health Care 42:4, pages 241-246.
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Terryann C. Clark, Mathijs F.G. Lucassen, Theresa Fleming, Roshini Peiris‐John, Amio Ikihele, Tasileta Teevale, Elizabeth Robinson & Sue Crengle. (2016) Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series. Australian and New Zealand Journal of Public Health 40:4, pages 329-336.
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Amna Dermish, David K. Turok, Janet Jacobson, Patricia A. Murphy, Hanna M. Saltzman & Jessica N. Sanders. (2016) Evaluation of an intervention designed to improve the management of difficult IUD insertions by advanced practice clinicians. Contraception 93:6, pages 533-538.
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Fiona Kemeny, Erol Digiusto & Deborah Bateson. (2015) Insertion of intrauterine contraceptive devices by registered nurses in A ustralia . Australian and New Zealand Journal of Obstetrics and Gynaecology 56:1, pages 92-96.
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Alexandra M Hall & Beth A Kutler. (2016) Intrauterine contraception in nulliparous women: a prospective survey. Journal of Family Planning and Reproductive Health Care 42:1, pages 36-42.
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Brian Hauck & Dustin Costescu. (2015) Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women. Journal of Obstetrics and Gynaecology Canada 37:7, pages 606-616.
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Joy O. Friedman. (2015) Factors Associated with Contraceptive Satisfaction in Adolescent Women Using the IUD. Journal of Pediatric and Adolescent Gynecology 28:1, pages 38-42.
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Lucía Cea Soriano, Mari-Ann Wallander, Susan Andersson, Anna Filonenko & Luis Alberto García Rodríguez. (2015) The continuation rates of long-acting reversible contraceptives in UK general practice using data from The Health Improvement Network. Pharmacoepidemiology and Drug Safety 24:1, pages 52-58.
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Kai J. Buhling, Brian Hauck, Sylvia Dermout, Katty Ardaens & Lena Marions. (2014) Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers. European Journal of Obstetrics & Gynecology and Reproductive Biology 183, pages 146-154.
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Mary A. Ott, Gina S. Sucato, Paula K. Braverman, William P. Adelman, Elizabeth M. Alderman, Cora C. Breuner, David A. Levine, Arik V. Marcell & Rebecca F. O’Brien. (2014) Contraception for Adolescents. Pediatrics 134:4, pages e1257-e1281.
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Janina Kaislasuo, Oskari Heikinheimo, Pekka Lähteenmäki & Satu Suhonen. (2014) Predicting Painful or Difficult Intrauterine Device Insertion in Nulligravid Women. Obstetrics & Gynecology 124:2, pages 345-353.
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Windy Mary Brown & Konia Trouton. (2014) Intrauterine device insertions: which variables matter?. Journal of Family Planning and Reproductive Health Care 40:2, pages 117-121.
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Luis Bahamondes, Diana Mansour, Christian Fiala, Andrew M Kaunitz & Kristina Gemzell-Danielsson. (2014) Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives. Journal of Family Planning and Reproductive Health Care 40:1, pages 54-60.
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Rebecca H. Allen, Elizabeth Micks & Alison Edelman. (2013) Pain Relief for Obstetric and Gynecologic Ambulatory Procedures. Obstetrics and Gynecology Clinics of North America 40:4, pages 625-645.
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Rebecca H. Allen, Christina Raker & Vinita Goyal. (2013) Higher dose cervical 2% lidocaine gel for IUD insertion: a randomized controlled trial. Contraception 88:6, pages 730-736.
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Valentine Foort. (2013) Le dispositif intra-utérin chez la nullipare : qu’en pensent les professionnels ?. Vocation Sage-femme 12:105, pages 36-39.
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S.F. Wilson, W. Strohsnitter & L. Baecher-Lind. (2013) Practices and Perceptions among Pediatricians regarding Adolescent Contraception with Emphasis on Intrauterine Contraception. Journal of Pediatric and Adolescent Gynecology 26:5, pages 281-284.
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K. Gemzell-Danielsson, D. Mansour, C. Fiala, A.M. Kaunitz & L. Bahamondes. (2013) Management of pain associated with the insertion of intrauterine contraceptives. Human Reproduction Update 19:4, pages 419-427.
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Ana Raquel Gouvea Santos, M. Valeria Bahamondes, M. Margarete Hidalgo, Ana Atti, Luis Bahamondes & Ilza Monteiro. (2013) Pain at insertion of the levonorgestrel-releasing intrauterine system in nulligravida and parous women with and without cesarean section. Contraception 88:1, pages 164-168.
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Jennefer A. Russo, Elizabeth Miller & Melanie A. Gold. (2013) Myths and Misconceptions About Long-Acting Reversible Contraception (LARC). Journal of Adolescent Health 52:4, pages S14-S21.
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Paula J. Adams Hillard. (2013) Practical Tips for Intrauterine Devices Use in Adolescents. Journal of Adolescent Health 52:4, pages S40-S46.
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Paul D. Blumenthal, Nirali M. Shah, Kriti Jain, Aleen Saunders, Corina Clemente, Brad Lucas, Krishna Jafa & Maxine Eber. (2013) Revitalizing long-acting reversible contraceptives in settings with high unmet need: a multicountry experience matching demand creation and service delivery. Contraception 87:2, pages 170-175.
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Amna I. Dermish, David K. Turok, Janet C. Jacobson, Marie E.S. Flores, Molly McFadden & Kathy Burke. (2013) Failed IUD insertions in community practice: an under-recognized problem?. Contraception 87:2, pages 182-186.
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Luis Bahamondes & Maria Valeria Bahamondes. (2013) Considering the risks and benefits of intrauterine devices: should clinician advice now be changed?. Clinical Practice 10:1, pages 19-30.
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Colleen McNicholas & Jeffrey F. Peipert. (2012) Long-acting reversible contraception for adolescents. Current Opinion in Obstetrics & Gynecology 24:5, pages 293-298.
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Luis Bahamondes & M Valeria Bahamondes. (2012) Assessment of the Use of Two New Low-Dose Levonorgestrel-Releasing Intrauterine Systems as Contraceptives. Women's Health 8:3, pages 235-238.
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Crystal P. Tyler, Maura K. Whiteman, Lauren B. Zapata, Kathryn M. Curtis, Susan D. Hillis & Polly A. Marchbanks. (2012) Health Care Provider Attitudes and Practices Related to Intrauterine Devices for Nulliparous Women. Obstetrics & Gynecology 119:4, pages 762-771.
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KRISTINA GEMZELL‐DANIELSSON, PIRJO INKI & OSKARI HEIKINHEIMO. (2011) Recent developments in the clinical use of the levonorgestrel‐releasing intrauterine system. Acta Obstetricia et Gynecologica Scandinavica 90:11, pages 1177-1188.
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M. Valeria Bahamondes, M. Margarete Hidalgo, Luis Bahamondes & Ilza Monteiro. (2011) Ease of insertion and clinical performance of the levonorgestrel-releasing intrauterine system in nulligravidas. Contraception 84:5, pages e11-e16.
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Amy Stoddard, Colleen McNicholas & Jeffrey F. Peipert. (2011) Efficacy and Safety of Long-Acting Reversible Contraception. Drugs 71:8, pages 969-980.
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Jamie N. Bakkum-Gamez, Shannon K. Laughlin, Jani R. Jensen, Clement O. Akogyeram & Sandhya Pruthi. (2011) Challenges in the Gynecologic Care of Premenopausal Women With Breast Cancer. Mayo Clinic Proceedings 86:3, pages 229-240.
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Edith Weisberg. (2010) Contraceptive options for women in selected circumstances. Best Practice & Research Clinical Obstetrics & Gynaecology 24:5, pages 593-604.
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Sophia Yen, Tammy Saah & Paula J. Adams Hillard. (2010) IUDs and Adolescents—An Under-Utilized Opportunity for Pregnancy Prevention. Journal of Pediatric and Adolescent Gynecology 23:3, pages 123-128.
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Renata Canteiro, M. Valeria Bahamondes, Arlete dos Santos Fernandes, Ximena Espejo-Arce, Nadia M. Marchi & Luis Bahamondes. (2010) Length of the endometrial cavity as measured by uterine sounding and ultrasonography in women of different parities. Contraception 81:6, pages 515-519.
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. (2010) Use of the Mirena™ LNG-IUS and Paragard™ CuT380A intrauterine devices in nulliparous women. Contraception 81:5, pages 367-371.
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Gang Zhao, Ling Qin, Qing Yang, Shangchun Wu & Peiyu He. (2009) Design and application of a flexible and implantable sensor for detecting uterine musculature contraction. Biosensors and Bioelectronics 25:1, pages 100-104.
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