Full Bladder IUD Insertion Without Vulsellum Under Ultrasound Guidance Versus the Standard Technique for IUD Insertion
| Registry | NCT06554249 |
|---|---|
| Status | Unknown |
| Phase | Not applicable |
| Study type | Interventional; randomized, parallel, masking: none, treatment |
| Enrollment | 82 (Estimated) |
| Sponsor | Cairo University (Other); collaborators: Bedaya Hospital |
| Conditions | Contraceptive Device |
| Interventions | Vulsellum group, Ultrasound group (Procedure) |
| Dates | start 2024-10-15 (estimated), primary completion 2025-06-15 (estimated), completion 2025-06-15 (estimated), first posted 2024-08-15, last updated 2024-08-15 |
| Locations | 1 site in Egypt |
Related Papers Related Patents Related Grants Related Experts
All trials for Contraceptive Device All trials of Vulsellum group All trials of Ultrasound group
The aim of this study is to determine whether full bladder IUD insertion without vulsellum or uterine sound under ultrasound guidance is associated with less pain compared with the standard technique of IUD insertion .
The intrauterine device (IUD) is an effective method of contraception. Pain experienced during IUD insertion is one of the main causes that limits its widespread use.
Pain during IUD insertion is caused by insertion of cusco vaginal speculum, sounding the uterus, application of vulsellum to grasp the cervix, the passage of the inserter tube through the cervical canal and uterine cavity..
In order to minimize the pain associated with IUD insertion , several studies reported that the use of ultrasound to guide the insertion of IUD into uterine cavity was associated with less pain and more accurate placement of IUD, other studies reported that filling the bladder during IUD insertion minimized the pain associated with IUD insertion.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Vulsellum group | Active comparator | Procedure: Vulsellum group | The patients are asked to empty the bladder before IUD insertion. The vulsellum is applied on the cervix, sounding of the uterus is done and the IUD is inserted according to the standard technique of IUD insertion. Pain intensity is assessed after the procedure using a visual analogue scale. |
| Ultrasound group | Active comparator | Procedure: Ultrasound group | During the two hour period before IUD insertion, the patients are asked to drink about one liter of water and to avoid micturition. Abdominal ultrasound is used to obtain a sagittal view of the uterus and the IUD is introduced into the uterine cavity under ultrasound guidance. The vulsellum and uterine sound are not used during IUD insertion. Pain intensity is assessed after the procedure using a visual analogue scale. |
Sex: Female, ages: 18 Years to 48 Years
Inclusion Criteria: * Women requesting IUD insertion Exclusion Criteria: * Active pelvic infection * Viable intrauterine pregnancy * Uterine anomalies * Uterine fibroid * Wilson disease
| Facility | City | Country | Status |
|---|---|---|---|
| Faculty of medicine, Cairo university | Cairo | Egypt |