Key clinical point: A uterine sound-sparing approach significantly increased patient satisfaction with IUD insertion compared to a trans-abdominal ultrasound guided approach.
Major finding: The VAS scores for patient satisfaction were significantly higher in women who underwent IUD placement with the USSA approach compared to the TVS approach (7.80 vs 5.45, P = .0001). Significantly lower VAS pain scores and significantly shorter duration of insertion also were reported in the USSA group compared to the TVS group ( P = .001 and P = .0001, respectively).
Study details: The data come from a randomized, open-label study of multiparous women who requested copper IUD insertion for birth control; 44 women underwent placement with the trans-abdominal ultrasound (TAS) guided approach and 44 with the uterine sound-sparing approach (USSA).
Disclosures: The study received no outside funding. The researchers had no financial conflicts to disclose.
Source: Ali MK et al. Eur J Contracept Reprod Health Care. 2021 Apr 15. doi: 10.1080/13625187.2021.1900565.