Doppler Ultrasound in Prediction and Follow up of Copper 380 IUCD Induced Excessive Menstrual Bleeding

Elsayed, Mostafa; Abdel Fatah, Mahmoud Abdulla; Elhefnawy, Mohamed; Abdelsalam, Hatem Elgendy

doi:10.21608/bjas.2023.200296.1119

Doppler Ultrasound in Prediction and Follow up of Copper 380 IUCD Induced Excessive Menstrual Bleeding

Document Type : Original Research Papers

Authors

¹ Department of Obstetrics & Gynecology Faculty of medicine - Banha University

² Obstatric &amp;amp; gynaecology department-Faculty of Medicne-Benha University

³ Resident of Obstetrics &amp; Gynecology, El Menshawy General Hospital

⁴ Lecturer of Obstetrics & Gynecology Faculty of medicine - Banha University

10.21608/bjas.2023.200296.1119

Abstract

Objectives: This research aimed to evaluate Doppler Ultrasound value in prediction and follow up of copper 380 intrauterine contraceptive device (IUCD) induced excessive menstrual bleeding. Patients and methods: This was a prospective study performed on a total of 120 cases seeking 380 IUCD insertion. All the cases were subjected to 1) Full history taking, 2) General examination, 3) pelvic examination, 4) Abdominal exam, 5) Speculum examination to detect and exclude any bleeding local cause as erosion and polyp, 6) Menstrual history, 7) Obstetric history and 8) Doppler US. Results: Uterine artery resistance index (RI) and pulsatility index (PI) before and after IUD were negatively correlated with IUCD induced bleeding (P < 0.001). The RI and PI of sub-endometrium prior and following IUD were negatively correlated with the IUCD induced bleeding (P < 0.001) while visual field index (VFI) and vascularization index (VI) before and after IUD were positively correlated with the IUCD induced bleeding (P < 0.001). Also, endometrium flow index (FI), VFI and VI before and after IUD were positively correlated with the IUCD induced bleeding (P < 0.001). The uterine artery RI and PI prior and following IUD were negatively correlated with the IUCD induced bleeding (P < 0.001). Conclusions: Medical professionals should give women unbiased information on the potential variations in bleeding they may face if there is no extremely successful medication for excessive bleeding in the first few months following copper IUD placement.

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