Problem | Patients (n) | |
---|---|---|
Bleeding | 76 | 49 referred with bleeding while using hormonal contraception, or for IUS fitting for heavy bleeding |
27 complained of unacceptable bleeding with copper IUD or levonorgestrel IUS | ||
Pelvic pain | 29 | 15 had an IUD in situ |
Lost IUD threads | 60 | |
Unsuccessful IUD fitting | 48 | |
Malposition of IUD | 7 | IUD fitted elsewhere and threads visible, but the referrer had concern about IUD position |
Request for IUD but uncertain suitability | 3 | These women had been advised at some time that they had a ‘bicornuate’ uterus |
Complex medical problems | 20 | |
Learning disability | 3 | A patient group vulnerable to exploitation and wanting menstrual suppression |
Follow up for abnormal scan | 5 | Complex ovarian cysts had been noted at assessment at local pregnancy advisory service |
Removal of deep or non-palpable implant | 21 | 5 had already had removal attempted unsuccessfully elsewhere |
Request for Gynefix® frameless IUD | 3 | Patients with a history of recurrent IUD expulsion or discomfort with current IUD |
IUD, intrauterine device; IUS intrauterine system.