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| Analysis of IUD removal and its influencing factors of postmenopausal women |
| China Population and Development Research Center, Beijing, 100081 |
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Abstract To analyze the removal of IUD and related factors of postmenopausal women. Methods: From March 2019 to May 2019, 938 women aged of 45 years old and above who had an IUD and stopped their menstruation for 1 year or more were selected from the survey of sexual and reproductive health in the middle-aged and elderly, and their status of IUD removal and the influence factors were analyzed. Results: 592 (63.1%) women had not IUD removal when their menstruation stopped. Among them, 282 (47.6%) women had IUD removal within 1 year after menstruation stopped, 81 (13.7%) women had IUD removal more than 1 year after menstruation stopped, 113 (19.1%) women had no specific memory for IUD removal time, and 116 (19.6%) women had not IUD removal. Consciously unnecessary, afraid of pain, and troublesome were the main direct reasons for not removing IUD in time. Provinces, economic income, age, household registration, and urban or rural residence were the influencing factors of IUD removal after menopause (P＜0.05). Conclusion: In these province/city, there are certain women whose IUD have not been removed after menopause appropriately. The health care services for perimenopause women should be strengthened further and special attention should be paid to low-income and relatively younger women.
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