Citation: Demir F, Desdicioglu R and Kelekci S. Assessment of -T-380A and Levonorgestrel-Releasing Intrauterine Device Types in Terms of Partial and Complete Expulsion. Austin J Obstet Gynecol. 2014;1(6): 4. Austin J Obstet Gynecol - Volume 1 Issue 6 - 2014 Submit your Manuscript | www.austinpublishinggroup.com Demir et al. © All rights are reserved Austin Journal of Obstetrics and Gynecology Open Access Full Text Article Abstract Purpose: Intrauterine Devices (IUD) are among commonly used reversible contraceptive methods. The aim of this study is to compare the spontaneous expulsion rates and other factors of these two IUD types. Material and Method: Our study was conducted retrospectively in our hospital by recording the age, gravida, parity, IUD types; existence of expulsion, its being partial or complete and other relevant data of the patients who received copper IUD (Cu-T380A) and LNG-releasing IUD (Mirena). Findings: The data of 2215 patients who used Copper IUD, and the data of 400 patients who used LNG-Releasing IUD were included in the study. Expulsion was detected in 234 patients (10,6%) who used Copper IUDs, and in 34 patients who used LNG-releasing IUDs (8,5%). It was observed that the mean age, gravida and parity values were bigger in the group who used LNG (mean age: 34,5 ± 7,1 vs 42,47 ± 6,200, p <0,001; gravida: 2,62 ± 1,19 vs 3,04 ± 1,15, p<0,001; parity: 1,96 ± 0,780 vs 2,24 ± 0,81, p <0.001). It was also determined that the mean age values of the LNG-releasing IUD patients who experienced expulsion were bigger than the patients with copper IUD (34,5 ± 7,1 vs 42,47 ± 6,200, p < 0.001). Moreover, the complete expulsion rate was observed as (9 (%2,8) vs 13 (%38,2), p <0.001) in patients who used LNG- releasing IUD. Result: In our study it was determined that the complete expulsion rate in LNG-releasing IUDs was more. This difference may be stemming from the fact that the experience on using the LNG-releasing IUDs being less than the copper IUDs. Keywords: Contraception; IUD; Expulsion rate Special Issue Article: Female Contraception: Types, Effectiveness, and Side Effects Assessment of -T-380A and Levonorgestrel-Releasing Intrauterine Device Types in Terms of Partial and Complete Expulsion Fatih Demir 1 *, Raziye Desdicioglu 1 and Sefa Kelekci 1 1 Izmir Katip Celebi University, Ataturk Training and Research Hospital, Department of Obstetrics and Gynecology, Karabağlar, Izmir/Turkey *Corresponding author: Dr. Demir F, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Department of Obstetrics and Gynecology,Karabağlar, Izmir/Turkey, Tel: 0902322434343; Fax: 0902322431530; Email: fatihdemir28@gmail.com Received: August 15, 2014; Accepted: October 02, 2014; Published: October 07, 2014 Austin Publishing Group A Introduction Intrauterine devices (IUD) are among the most frequently used reversible contraceptive methods in the world. Although the frst IUDs were produced from inert plastic, later copper IUD and Levonorgestrel-Releasing IUDs (LNG-Releasing IUDs) were developed [1]. Today, the copper IUDs are the most frequently used ones in many countries. Copper IUDs have been used for many years and their contraceptive efects have been proven to be continuing for 12 years [2]. LNG-releasing IUDs are recommended to be used for 5 years, and there are studies showing that they are efective for 7 years [3]. Contraceptive efect mechanisms work in various ways. It is considered that they frstly ruin the transport of the sperms to the oviducts and show their efects by preventing the implantation [1,4-8]. Moreover, the LNG-releasing IUDs ruin the cervical mucus quality with their progesterone efects [9]. Teir being efective for a long time and being independent of patient compliance are among their most important advantages. Levonorgestrel Releasing-IUDs were frst used in Finland in 1990 as contraceptives. Tere are studies claiming that their contraceptive success rates are more than the copper IUDs. However, they can have continuance problems in patients due to their side efects depending on progesterone secretion. Teir discontinuing rates are similar [10-12]. Moreover, their uses in patients with heavy menstrual bleeding, dysmenorrhea and even with adenomyosis symptoms prevent their use as contraceptives in terms of cost-efective usage [2,13,14]. Te side efects of both IUDs are diferent. Te most frequent reason for discontinuation in the patients using IUD is the pain and heavy bleeding. Te most frequent reasons for the LNG- releasing IUDs are irregular bleedings including amenorrhea and painful bleeding intervals. Moreover, headache, stress and qualm that happen due to progesterone content are also observed in LNG- releasing IUDs [10,15-18]. For copper or LNG-releasing IUDs, the cumulative pregnancy rate is reported as being nearly 2% [19]. Te undetected spontaneous expulsions of IUDs are closely related with the contraceptive failure [20]. Moreover, partial expulsions may cause symptoms like menorrhagia or pelvic pain. Te expulsion of the former RIA, hypermenorrhea, nulliparity, young age, uterine cavity length being less than 9 cm are reported as being the main risk factors for expulsion [21-23]. Tere are studies that examine the question whether there is a diference between RIA types in terms of the expulsion rates; however, the results are various [24-26]. It is