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Contraception. 2012 Aug;86(2):119-21. doi: 10.1016/j.contraception.2011.12.002. Epub 2012 Mar 28.

Does using tampons or menstrual cups increase early IUD expulsion rates?

Author information

1
Department of Family Practice, University of British Columbia, Vancouver BC, Canada. ellenwiebe@gmail.com

Abstract

BACKGROUND:

Many intrauterine device (IUD) users utilize intravaginal menstrual cups or tampons during menses, but no studies have investigated the impact this practice may have on IUD expulsions.

STUDY DESIGN:

Retrospective chart survey.

RESULTS:

Of the 930 women having IUDs placed and reporting menstrual protection, 10.3% (96) used menstrual cups, 74.2% (690) used tampons, and 43.2% (402) used pads (many women reported using more than one method). In the 743 women with adequate follow-up information, there was a full or partial expulsion (i.e., part of the IUD in the cervical canal) rate of 2.5% (27) during the first 6 weeks after insertion. There was no difference in the women using cups, tampons or pads (confidence intervals overlap).

CONCLUSIONS:

From this study, there is no evidence that women who report using menstrual cups or tampons for menstrual protection had higher rates of early IUD expulsion.

[Indexed for MEDLINE]

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