Comparing Hemorrhages and Dysmenorrhea with Copper T380A and Multiload 375 Intrauterine Devices: A Randomized Clinical Trial

Abstract

ABSTRACT Introduction: One of the most common complications of IUD users is bleeding and dysmenorrhea. These complications vary in the different types of IUDs. The aim of this study was to compare the bleeding and dysmenorrhea in ML CU 375 IUD and Copper T 380A IUD. Methods: This randomized double-blind controlled clinical trial was performed on 48 women in a health care centres from January to October 2012, in Tabriz, Iran. Participants allocated into two equal groups of receiving IUD ML CU 375 or receiving IUD Copper T 380A in randomized blocking method. Data were collected by demographic questionnaire and Higham chart and Visual Analog Scale 1 month before IUD insertion and 4 months after IUD insertion. Analysis of covariance, ANOVA with repeated measures, Friedman, Ordinal regression and SPSS Ver. 13 were used to analysis the data. Results: The results showed that the mean score of bleeding in the first four months after IUD insertion in IUD ML CU 375 users was significantly lower than IUD Copper T 380A group. In the third and fourth months in both groups showed severity of dysmenorrhea in group IUD ML CU 375 was lower than IUD Copper T 380A. The results showed that the duration of dysmenorrhea in the first four months after IUD insertion in IUD ML CU 375 group was significantly lower than IUD Copper T 380A group. Conclusion: Counseling and educating women by family planning service providers about both Copper T 380A and ML CU 375 IUDs before taking IUD is recommended.

Keywords: IUD ML CU 375, IUD Copper T 380A, Hemorrhage, Dysmenorrhea