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| Analysis on the influencing factors, and the prevention and treatment of difficult intrauterine device removal of menopausal women |
| Beijing Shijitan Hospital, Beijing, 100038 |
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Abstract To explore the influencing factors, and the prevention and treatment of difficult hysteroscopic intrauterine device (IUD) removal of menopausal women. Methods: A retrospective analysis was conducted on 231 postmenopausal women who underwent hysteroscopic IUD removal from January 2019 to April 2020. The related influencing factors of difficult hysteroscopic IUD removal of these menopausal women were analyzed. Results: There were 231 women with IUD removal successfully by hysteroscopic direct vision, which included 89 (38.5%) women with metal ring IUD, 70 (30.3%) women with T-shaped IUD，42 (18.2%) women with V-shaped IUDs, and 30 (13.0%) women with other types IUD. There were 89 (38.5%) women with IUD removal smoothly. And 142 women with IUD removal difficultly, which included 49 (34.5%) women with metal ring IUD, 53 (37.3%) women with T-shaped IUD， 23(16.2%) women with V-shaped IUDs, and 17 (12.0%) women with other types IUD. IUD inserted during lactation or immediately after induced abortion, the duration of IUD used, the duration of menopause, and the types of IUD were the independent risk factors of difficulty IUD removal of the postmenopausal women (P<0.05). Conclusion: The publicity and education on family planning and contraception should be paid attention to, so as to alleviating the fears on IUD removal of the postmenopausal women. And the position of the IUD of the women should be examined regularly, IUD used beyond the prescribed period should be avoided, and IUD of the women should be removed within one year after menopause.
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