• MeSH
• kontraceptiva postkoitální * MeSH
• lidé MeSH
• nehormonální nitroděložní tělíska s mědí MeSH
• těhotenství MeSH
• Check Tag
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• kontraceptiva postkoitální * MeSH

Recently, IUd usage has increased, and with that increase has come an awareness of the undesirable side effects of the device, notably infection. Infection risks can be minimized if clinicians observe aseptic and sterile procedures. Histological studies were conducted on the tissues adhering to the IUDs of 244 women. The women were aged 20-40, and had had the IUD in place for an average of 4 years. Histological rather than bacteriological studies were conducted because the presence of bacteria does not necessarily indicate that disease is present. Secretory endometrium was found in 54.8% of the women, proliferative endometrium in 32.2%, cellular debris in 4.9% and stromoglandular disassociation in 8.1%. Of the 19 women in whom disease states were detected, endometritis chronica was seen in 79% of the cases, E. purulenta in 10.5%, e. acuta in 5.25% and E. subacuta in 5.25%. All of these conditions vanished after removal of the IUD and antibiotic treatment. In none of the cases was the IUD associated with precancerous atypia. Prevention may be the best approach with respect to infectuous complications associated with IUD use. Colposcopy, culturing of cervical mucus, PAP smears, erythrocyte sedimentation and leukocyte counts should be performed on women prior to IUD insertion. These steps guard against introducing vaginal infections into the uterus. When a woman comes to a physician complaining of pain in the lower back, abdomen, or during intercourse, infection must be suspected. If infection is found, treatment to eliminate the offending organism needs to be initiated. The woman's partner may also need to be treated.

• Klíčová slova
• Contraception, Contraceptive Methods--complications, Diseases, Family Planning, Infections, Iud--complications *, Pelvic Infections *,
• MeSH
• časové faktory MeSH
• dospělí MeSH
• gynekologická onemocnění etiologie   MeSH
• lidé MeSH
• nehormonální nitroděložní tělíska s mědí škodlivé účinky   MeSH
• zánět MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• měď * MeSH
• nehormonální nitroděložní tělíska s mědí * MeSH
• rozpustnost MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• Názvy látek
• měď * MeSH