Background: The levonorgestrel-releasing IUD can help the treatment of dysmenorrhea by reducing the synthesis of endometrial prostaglandins as a conventional treatment.Objective: This study was performed to assess the frequency of dysmenorrhea, satisfaction and quality of life in women using Mirena IUDs as compared to those using copper IUDs.Materials and Methods: This double-blind randomized clinical trial was performed between 2006 and 2007 on 160 women aged between 20 to 35 years who attended Shahid Ayat Health Center of Tehran, and they were clients using IUDs for contraception.80 individuals in group A received Mirena IUD and 80 individuals in group B received copper (380-A) IUD. Demographic data, assessment of dysmenorrhea, and follow-up 1, 3 and 6 months after IUD replacement were recorded in questionnaires designed for this purpose. To assess the quality of life, SF36 questionnaire was answered by the attending groups, and to assess satisfaction, a test with 3 questions was answered by clients.Results: Dysmenorrhea significantly was decreased in both groups six months after IUD insertion as compared to the first month (p<0.001). However, statistically, Mirena reduced dysmenorrhea faster and earlier compared to cupper IUD (p<0.003).There isn’t any significant difference between these two groups in satisfaction and quality of life outcomes.Conclusion: There is no difference between these two groups in terms of the satisfaction and quality of life, therefor the usage of Mirena IUD is not a preferred contraception method.

Background: CuT380A intra uterine device Intra Uterine Device (IUD) is used in the health system of Iran.The most important and frequent side effects of the IUDs are hyper menorrhea and polymenorrhea. In Iran, iron supplement are not prescribed for the IUD users and there are no documents indicating their iron reservation status. This study was performed to determine the iron status in Gorganian IUD users.Methods: This historical cohort study was performed on 100 IUD users (exposed group) and 100 non-IUD users (non-exposed group) in the Golestan province in north east of Iran in 2008. To evaluate the iron status hemoglobin and ferritin levels were measured. Data was analyzed by SPSS 13 by using Chi square and Independent T-test. A p-value less than 0.05 were considered as statistically significant.Results: Hgb less than 10.5 was seen in 5% and 6% of IUD users and non-IUD users respectively which was not statistically significant (OR: 1.43, 95% CI: 0.39-5.25). Low Ferretin Level (less than 15) was seen in 53% of IUD users and in 35% of non-IUD users which was statistically significant (OR: 2.35, 95% CI: 1.28-4.29) Duration of menstrual period in the two groups was statistically significant (7.5±2.4 vs.6.4±1.8, p=0.005) but interval of menstruation (days) was not statistically significant (26.7±4.7 vs.28±11.2, p>0.05).Conclusion: On the basis of the results obtained we suggest either routine iron supplementation following application of IUD, or use of the hormone releasing IUD as an alternative for copper IUDs.

Intrauterine device (IUD), a conventional method of contraception is rarely associated with uterine perforation and extra uterine dislocation. A 29 years old woman complaining of vaginal bleeding was referred for pelvic mass identified in ultrasound. The mass was confirmed with CT scan. In laparatomy we found an IUD in cul-de-sac and pelvic mass was apparently an organized hematoma. Transmigrated IUD can induce organized hematomas presenting as a pelvic mass.

Objective: Despite Intra Uterine Device (IUD) has the advantage of providing long-term contraception and does not require daily attention, only %8 of Iranian women use it. This study was conducted to enhance understanding of why women in the Isfahan appear reluctant to consider IUD as a contraceptive method.Materials and methods: It was a qualitative study that was done in Isfahan in May 2009. Five urban health centers of Isfahan city were selected randomly. In each center by purposive opportunistically sampling, interview was done with referring women of reproductive age that had never used IUD without any contraindication by one interviewer. One to one semi-structured interviews were continued until a level of information saturation was reached and no new themes were emerging. Each woman's believe about IUD and her reasons for not using IUD as a contraceptive method was asked by interviewer. Also all participants were asked about the official (leaflets, health care professionals, books and school) and unofficial (personal narratives recounted by friends and relatives) sources of their information. Eleven interviews were conducted in total. key words in ideas of each woman were identified to develop major misconceptions about IUD use.Results: Fear of side effects of IUD, religious believes, anxieties related to fitting of an IUD, make difficulty in intercourse and damage to fetus were the major misconceptions about IUD use. Religious believes were the most impediment factor for IUD use.Conclusion: All of the items identified mirrored those found in other studies except the prominent worries about religious aspects of using IUD that are new and need wider exploration.

Objective: To evaluate the effect of emotional adjustment on IUD continuation to understand why persons with similar clinical problems have different interpretation and select different strategies to cope with their complaints.Materials and Methods: This historical cohort study was carried out on 12 randomly chosen health centers of Isfahan province in 2007. Two hundred forty eight literate and married women aged 15-49 years who had chosen IUD as a contraceptive method since 2002 entered the study. After explaining the aim of study and taking informed consent, women completed the demographic, individual characteristics and 32 questions in emotional domain of Bell’s Adjustment Inventory (adult form). May 2007 was considered the end time of IUD consumption as a defined outcome. Data analysis was performed with the SPSS version 15. T–test, chi–square, Mann–Whitney, General Linear Model, Regression were used for data analysis.Results: During this period 60% (146) of women preserved their IUD and 40% (98) of them removed their IUD. The mean score of emotional adjustment was 16.16±6.28 in IUD preserved women in comparison to 18.23±5.63 in IUD removed women. Poor, moderate and good grades of emotional adjustment were 54%, 40% and 6% in IUD preserved woman vs 72.4%, 24.5% and 3.1% in IUD removed women.Conclusion: Psychological factors such as emotional adjustment can influence IUD survival; so improved counseling and good candidate selection before IUD insertion is recommended.