Open AccessIntra‐Uterine Contraceptive Devices (IUDS) in Relation to Uterine Histology and Microbiology
Author(s) -
Kajanoja Pauli,
Lang Birgitta,
Wahlström Torsten
Publication year - 1987
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348709022052
Subject(s) - medicine , intrauterine device , gynecology , uterus , family planning , genitourinary system , obstetrics , pelvic inflammatory disease , infertility , hysterectomy , in utero , population , research methodology , pregnancy , surgery , environmental health , biology , genetics , fetus
Histological and microbiological examinations were made of 90 uteri taken in association with abdominal hysterectomy. Thirty‐one women had an intra‐uterine contraceptive device (IUD) in utero at the time of operation, 16 women had previously used an IUD, while 43 had never used one. A chronic inflammatory reaction was seen significantly more often in the fallopian tubes of women with an IUD in situ (21β1, 68%) than in those who had never used an IUD (7/43,16%). Incontrast, non‐activepost‐inflammatorytubal changes were found less frequently in women with an IUD in situ (6%) than in women who had never used an IUD (16%). All tubes were sterile, expect for two with apathogenic microbes. An endometrial inflammatory reaction was found in 4 women with an IUD in situ and in one woman who had never used an IUD. The possibility of tubal infertility must be borne in mind when planning IUD contraception.