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Intrauterine Devices and Pelvic Inflammatory Disease
Author(s) -
McCarthy Terry,
Roy A. C.,
Ratnam S. S.
Publication year - 1984
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1984.tb01468.x
Subject(s) - pelvic inflammatory disease , subclinical infection , medicine , incidence (geometry) , disease , pid controller , gynecology , temperature control , physics , control engineering , optics , engineering
Summary: There is convincing clinical evidence that PID is more common in IUD users than in users of other contraceptive methods. There appears to be a smaller but significant increase when IUDs are compared with sexually active noncontraceptive users. However, the incidence of PID severe enough to warrant hospitalization is only of the order of 1 to 2 per 1,000 women per year. The question which remains is whether beyond this low figure of moderate and severe desease there is a much higher incidence of subclinical PID which may result in complications for IUD users. Development of a marker such as C‐Reactive protein or the split complement component C3d to detect mild PID would prove invaluable in the elucidation of several crucial problems in the clinical management of women using IUDs.