Clinical and Ultrasonographic Predictors of IUD Related Complications
1 other identifier
interventional
200
1 country
1
Brief Summary
- All patients fulfilling the selection criteria undergo complete clinical examination and detailed medical history obtained. Each patient had a Case Record Form (CRF) recording participants' name. number, previous deliveries and abortions, age, height, weight, BMI, LMP, past medical and surgical history and contraceptive history.
- All participants will be subjected to transvaginal ultrasound to measure uterine size, endometrial and myometrial thickness, uterine position, cervical length, cervical diameter and for detection of any contraindications for IUD insertion. Power Doppler Energy (PDE) measurement for subendometrial microvascularization will be done and categorized as women with minor subendometrial vascularization (Classifications I and II) and major subendometrial vascularization (Classifications III, IV and V)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2025
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 21, 2025
CompletedStudy Start
First participant enrolled
February 1, 2025
CompletedFirst Posted
Study publicly available on registry
February 4, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2026
CompletedMarch 18, 2025
March 1, 2025
1 year
January 21, 2025
March 17, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Failed IUD insertion
failure of IUD insertion
9 months
Study Arms (1)
IUD insertion
EXPERIMENTALIUD insertion in women needing contraception
Interventions
* Perform a bimanual examination * Insert a warm, moistened speculum. * Cleanse the cervix with an antiseptic solution. * Open the sterile insertion instruments without touching * Remove the tenaculum by its handle and grasp the anterior or posterior lip of the cervix. * Apply gentle traction with the tenaculum to straighten the canal. * Remove the sound by its handle and gently insert it to measure the depth of the uterus. Do not apply great force if there is resistance. Apply further traction to the tenaculum and attempt to re-insert the sound at a different angle. Once the sound is inserted and removed * Open the IUD pack without touching its contents. * Put on sterile gloves. * Load the IUD and insert it into the uterine cavity according to the manufacturer instructions. * Gently remove the tenaculum. * Trim the strings of the IUD to 3-4 cm in length * Remove the speculum and assess the woman.
Eligibility Criteria
You may qualify if:
- Age 20 -41 years
- BMI 18-25 kg/m2
- Women with any parity seeking contraception and choosing IUD as their preferred method after proper and thorough counseling
- Regularly menstruating women (duration of menstruation 3-7 days and length of cycle 22- 35 days).
- Not using any hormonal therapy or anticoagulation
You may not qualify if:
- Cervical abnormalities.
- Pregnancy or suspicion of pregnancy
- Congenital or acquired uterine anomalies which distort the uterine cavity (fibroids, endometrial polyps, cervical stenosis, bicornuate uterus, hypoplastic uterus \< 6 cm)
- Acute PID or a history of PID within the past 3 months
- Postpartum or post-abortion endometritis within the past 3 months
- Current STI or within the past 3 months (including cervicitis)
- Cervical cancer
- Endometrial cancer
- Malignant gestational trophoblastic disease
- Undiagnosed vaginal bleeding
- Hypersensitivity to any component in the IUD (copper)
- Less than 6 weeks postpartum.
- Neurological or psychological conditions that may affect pain sensation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Kasr Alainy medical school
Cairo, 12111, Egypt
Study Officials
- PRINCIPAL INVESTIGATOR
Ahmed Maged
Cairo University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
January 21, 2025
First Posted
February 4, 2025
Study Start
February 1, 2025
Primary Completion
February 1, 2026
Study Completion
February 1, 2026
Last Updated
March 18, 2025
Record last verified: 2025-03