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Journal: |
Tectonophysics 2013 No.87
clicks:872 |
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Title:
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Author:
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Huili Zhu, Haike Lei, Wei Huang, Jing Fu, Qiushi Wang, Licong Shen, Qiuyi Wang, Jie Ruan, Dong Liu, Hao Song, Lina Hu |
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Adress: |
Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, No. 20, Section 3, Renmin Nan Lu, Chengdu, Sichuan 610041, China |
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Abstract:
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Background
In order to evaluate the effect of long-term intrauterine device (IUD) use on female fertility, we interviewed 2301 women who lost children in the 2008 Wenchuan earthquake in China, which prompted IUD removal.
Study Design
A clinical retrospective survey.
Result
Five hundred and twenty-four women were lost to follow-up, and data from the remaining 1770 women were analyzed. The completed questionnaires revealed that 80.11% (1418/1770) became pregnant following IUD removal and about 88% (1256) of whom conceived within 1 year. Among women with different durations of IUD use, pregnancy rates and miscarriage rates were as follows: < 5 years, 89.77% and 4.27%; 6–10 years, 81.10% and 10.19%; and > 10 years, 75.20% and 12.98%, respectively. Age, duration of IUD use, a history of a previous miscarriage and abnormal menstruation before the earthquake were independently associated with reduced fertility, but a higher gravidity pre-earthquake was associated with a higher conception rate.
Conclusion
Long-term IUD use in older women had a high rate of pregnancy after removal of IUD, but with an increased risk of fertility problems.
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Comment: |
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