The effect on intrauterine device position and performance of a modified TCu380A insertion technique

Abstract

Objective: To assess the validity of modifying the technique of intrauterine device (IUD) placement to decrease the incidence of incorrect positioning within the uterine cavity. Methods: We used the current applicator in 78 women and an applicator shortened by 1.5 cm in 91 women, and examined the uterus by vaginal ultrasonography before and after application in both groups. Results: Six of the 78 unmodified insertions were found to be incorrectly placed, while none of the IUDs inserted with the new technique was placed incorrectly. Conclusions: We suggest shortening the applicator or lengthening the push rod to increase the likelihood of proper IUD insertion and thereby enhance performance.

• INTRAUTERINE DEVICE
• ULTRASOUND
• TRANSVAGINAL