Pilot Study of Suction as a Mechanism of IUD Expulsion With Concomitant Menstrual Cup Use
University of Colorado, Denver
Summary
This study will provide pilot data examining suction as a mechanism of IUD displacement with menstrual cup use. The investigator hypothesize that manufacturer-recommended menstrual cup insertion and removal by breaking the seal will result in 15% rate of IUD displacement/expulsion. The investigator will also use this data to explore variables associated with IUD displacement and menstrual cup use. By examining the role of suction as a possible mechanism of IUD displacement, this research will allow healthcare providers to better counsel patients who use IUDs regarding menstrual cup use. Having a better understanding of the mechanics of IUD displacement could lead to the development of strategies to prevent expulsion.
Description
Intrauterine devices (IUDs) are a commonly used, highly effective form of long-acting, reversible contraception in the United States (US). IUD expulsions, or displacement of the IUD from the top of the uterine cavity occur approximately 5% of the time but can have significant consequences for patients such as unintended pregnancy and further need for health care services and costs. Limited data suggests that menstrual cup use with an IUD in place may be associated increased risk of IUD expulsion. Menstrual cups such as the DivaCup are reusable collection devices that are an increasingly popula…
Eligibility
- Age range
- 18–45 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Female * Between the ages of 18-45 * Currently has an FDA approved IUD * Present to CWHC for IUD removal Exclusion Criteria: * Known sensitivity or allergy to silicone * known active vaginal infection (yeast, bacterial vaginosis, untreated sexually transmitted infection) * IUD strings not visible * Positive pregnancy test
Interventions
- OtherMenstrual Cup Removal
Participants will be asked to remove Menstrual cup by breaking the seal.
Location
- Comprehensive Women's Health CenterDenver, Colorado