بررسي عوارض جانبي IUD نوع TCu380Aو (300 + ، 300) Cu-Safe در زنان شهر همدان، سال1387

Comparing the side effects of TCu380A and CuSafe (300, +300) IUDs in city of Hamedan, Iran

Background and purpose: Nowadays over 153 million women use IUD worldwide as contraception. Long-term durability, high efficacy, and cost effectiveness are advantages of this method. This study compares the side effects and continuation rate of TCu380A and CuSafe (300, -1-300) IUDs during a 6-month period in Taamine Ejtemaee clinics, Hamadan, Iran. Materials and methods: This was a description study. By using a continued method, 250 candidates applied for IUD were randomly placed in two groups of IUD. The side effects and continuation rate were recorded in the following 1,2,3,6 months. Statistical analysis was performed using Students" t-test, fisher and chi-squared test where appropriate. The method for data collection was using some information record whose reliability and validity had been approved by the authorities in the field and after data collection they were analyzed statistically. Results: Vaginal bleeding was the most common consequence during the first month of implantation in both groups, however in months 1, 2, and 6 vaginal bleeding was significantly less prevalent in Cu safe group. At all intervals Cu safe users were complained for pain and infection significantly less than that in the TCu380A group. The continuation rate was significantly higher in the 3rd month for Cu safe users. No other major differences in spontaneous expulsion and contraceptive failure were found between the study groups. Conclusion: According to our findings, the side effects included bleeding; pain, infection and spontaneous expulsion were less incident in Cu safe users than TCu380A. Therefore, the use of Cu safe IUD is recommended. Key words: Side effects, IUD, contraception