Pilot Study of Suction as a Mechanism of IUD Expulsion With Concomitant Menstrual Cup Use
1 other identifier
interventional
80
1 country
1
Brief Summary
This study will provide pilot data examining suction as a mechanism of IUD displacement with menstrual cup use. The investigator hypothesize that manufacturer-recommended menstrual cup insertion and removal by breaking the seal will result in 15% rate of IUD displacement/expulsion. The investigator will also use this data to explore variables associated with IUD displacement and menstrual cup use. By examining the role of suction as a possible mechanism of IUD displacement, this research will allow healthcare providers to better counsel patients who use IUDs regarding menstrual cup use. Having a better understanding of the mechanics of IUD displacement could lead to the development of strategies to prevent expulsion.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2022
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 28, 2022
CompletedStudy Start
First participant enrolled
February 20, 2022
CompletedFirst Posted
Study publicly available on registry
February 24, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
February 12, 2026
February 1, 2026
4.9 years
January 28, 2022
February 10, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
The rate of IUD displacement with manufacturer-recommended menstrual cup insertion and removal
The rate of IUD displacement measured by the frequency of IUDs that shift \>1cm after manufacturer-recommended menstrual cup insertion and removal.
12-18 months
Secondary Outcomes (1)
The rate of IUD displacement measured by the frequency of IUDs that shift >1cm after manufacturer-recommended menstrual cup insertion and removal followed by insertion and removal the menstrual cup without breaking the seal.
12-18 months
Other Outcomes (3)
III. The proportion of subjects who report pulling on the menstrual cup stem before breaking the seal.
12-18 months
III. The proportion of subjects who report feeling suction during menstrual cup removal.
12-18 months
III. The proportion of subjects who report palpating the IUD strings during menstrual cup removal.
12-18 months
Study Arms (1)
Mentrual Cup Removal
OTHERMenstrual Cup Removal.
Interventions
Participants will be asked to remove Menstrual cup by breaking the seal.
Eligibility Criteria
You may qualify if:
- Female
- Between the ages of 18-45
- Currently has an FDA approved IUD
- Present to CWHC for IUD removal
You may not qualify if:
- Known sensitivity or allergy to silicone
- known active vaginal infection (yeast, bacterial vaginosis, untreated sexually transmitted infection)
- IUD strings not visible
- Positive pregnancy test
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Comprehensive Women's Health Center
Denver, Colorado, 80230, United States
Related Links
- Daniels K, Daugherty J, Jones J, Mosher W. Current Contraceptive Use and Variation by Selected Characteristics Among Women Aged 15-44: United States, 2011-2013. Natl Health Stat Rep. 2015; 86:1-14.
- Daniels K, Abma JC. Current Contraceptive Status Among Women Aged 15-49: United States, 2017-2019. NCHS Data Brief. 2020:1-8.
- Kaiser Family Foundation. Intrauterine Devices (IUDs): Access for Women in the U.S.
- U.S. Food and Drug Administration Prescribing Information: Mirena (levonorgestrel-releasing intrauterine system). Reference ID: 3837008.
- U.S. Food and Drug Administration Prescribing Information: ParaGard (intrauterine copper contraceptive). Reference ID: 3321877.
- Teal SB, Turok DK, Chen BA, Kimble T, Olariu AI, Creinin MD. Five-Year Contraceptive Efficacy and Safety of a Levonorgestrel 52-mg Intrauterine System. Obstet Gynecol. 2019;133:63-70.
- Boortz HR, Margolis DJA, Ragavendra N, et al. Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 2012; 32:335-352.
- Madden T, McNicholas C, Zhao Q et al. Association with age and parity with intrauterine device explusion. Obstet Gynecol. 2014; 124: 718-726
- Seale R, Powers L, Guiahi M, Coleman-Minahan K. Unintentional IUD expulsion with concomitant menstrual cup use: a case series. Contraception. 2019; 100: 85-87.
- Gilliam ML, Jensen JT, Eisenberg DL, Thomas MA, Olariu A, Creinin MD. Relationship of partity and prior cesarean delivery to levonorgestrel 52 mg intrauterine system expulsion over 6 years. Contraception. 2021; 22: 1-6.
- DivaCup®. 2021. Accessed date: 16 March 2021.
- Lunette®. /;2021. Accessed date: 16 March 2021.
- Jones L. Why are menstrual cups becoming more popular? BBC news. Available at: https://www.bbc.com/news/business-45667020; 2018, Accessed date: 16 March 2021.
- Schnyer AN, Jensen JT, Edelman A, Han L. Do menstrual cups increase risk of IUD expulsion? A survey of self-reported IUD and menstrual hygiene product use in the United States. Eur J Contracept Reprod Health Care. 2019; 24: 368-372
- Long J, Schreiber C, Creinin MD, Kaneshiro B, Nanda K, Blithe D. Menstrual cup use and intrauterine device expulsion in a copper intrauterine device efficacy trial \[OP01-1B\]. Obstet Gynecol. 2020; 135:1S.
- Menstrual Cup Reviews. https://menstrualcupreviews.net/high-or-low-cervix/;2019. Accessed date: 16 March 2021
- Wiebe ER, Trouton KJ. Does using tampons or menstrual cups increase early IUD expulsion rates? Contraception. 2012; 86: 119-21.
- Lunette®. Can you use a menstrual cup with an IUD? https://store.lunette.com/blogs/news/can-you-use-menstrual-cup-with-iud; 2018. Accessed date: 16 March 2021.
- Kattan DR, Burkamn R. Overcoming LARC complications: 7 case challenges. OBG Management. 2017; 29:18-24.
Study Officials
- PRINCIPAL INVESTIGATOR
Cara Clure, MD
University of Colorado, Denver
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 28, 2022
First Posted
February 24, 2022
Study Start
February 20, 2022
Primary Completion (Estimated)
December 30, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
February 12, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share