- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05263544
Uterine Anatomical Flexion Degree ( Uterocervical Angle) and Intrauterine Device (IUD) Dislocation
June 2, 2023 updated by: Fatma Ketenci Gencer, MD, Gaziosmanpasa Research and Education Hospital
Evaluation of Uterine Anatomical Flexion Degree ( Uterocervical Angle) in Cases With and Without Intrauterine Device (IUD) Dislocation
Investigators want to find numerical determination of the degree of anatomical anterior or posterior flexion of the uterus (uterocervical angle) at the intersection of both lines using a protractor, provided that straight lines are drawn from the middle of the cervical canal and the middle of the endometrial canal in cases where the intrauterine device is found to have dislocated and and cases with no dislocation.
Investigators will also measure uterus size, uterine width, cervical canal length, endometrial canal length, endometrial canal width and compare the results in both groups.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
IUD (intrauterine device) is one of the most preferred birth control methods in our country and in the world, and this usage rate is approximately 23% in the world.
In our country, this rate is around 17%.
The high chance of success, ease of use and long-term effectiveness can be counted among the reasons for preference.Currently used IUD is a 'T' shaped, has a 380 mm copper surface and its arms open at the widest part of the endometrium (TCu380A), thereby preventing it from slipping back.
Undesirable effects include pelvic pain, dysmenorrhea, heavy menstrual bleeding, malposition/dislocation. Malposition/dislocation occurs in approximately 10% of patients.
Malposition/dislocation of the IUD may be associated with excessive menstrual bleeding, or the IUD may be displaced without any symptoms.
Malposition/dislocation can be classified as expulsion, burial, displacement, or perforation.
Expulsion is defined as partial or complete protrusion of the cervical canal, and displacement is defined as rotation of the IUD or its displacement towards the lower segments.
At the same time, IUD may be embedded in the myometrium to such an extent that it does not reach the serosa of the myometrium, while it may puncture the serosa and cause perforation may occur.
TCu380A devices have a 6% risk of expulsion in the first 1 year.
Displacement or slippage of the IUD reduces the effectiveness of the IUD and may cause expulsion.
Therefore, being able to predict that the IUD will not slip is very important in terms of preventing unwanted pregnancies.
In our study, in both groups with and without displaced IUD, uterus size, uterine width, cervical canal length, endometrial canal length, endometrial canal width, and the angle at the intersection of the imaginary lines corresponding to the middle of the endometrium and cervical canal, which can be detected by transvaginal ultrasound were measured.
Investigators aimed to determine the measurements and compare the obtained data to find associated factors related to dislocation.
Study Type
Observational
Enrollment (Actual)
78
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Fatma Ketenci Gencer, MD
- Phone Number: +905416116469
- Email: fathma_k@hotmail.com
Study Locations
-
-
-
Istanbul, Turkey
- Gaziosmanpasa Training and Research Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (Adult)
Accepts Healthy Volunteers
Yes
Sampling Method
Probability Sample
Study Population
patients with and without intrauterine device displacement
Description
Inclusion Criteria:
• using intrauterine device
Exclusion Criteria:
- Pelvic mass that cannot be differentially diagnosed by physical examination and imaging techniques
- Having an indication for surgical treatment
- Presence of space-occupying polyp or fibroid affecting the anatomy of the endometrium
- Presence of myoma or adenomyosis that disrupts the integrity of the myometrium
- Presence of pelvic infection
- Currently using any hormonal therapy
- History and/or presence of malignancy
- Pregnancy
- Menopause or premature ovarian failure
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients with displaced IUD
|
in both groups with and without displaced IUD, uterus size, uterine width, cervical canal length, endometrial canal length, endometrial canal width, and the angle at the intersection of the imaginary lines corresponding to the middle of the endometrium and cervical canal, which can be detected by transvaginal ultrasound will be measured
|
Patients without displaced IUD
|
in both groups with and without displaced IUD, uterus size, uterine width, cervical canal length, endometrial canal length, endometrial canal width, and the angle at the intersection of the imaginary lines corresponding to the middle of the endometrium and cervical canal, which can be detected by transvaginal ultrasound will be measured
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
Degree of uterocervical angle (°)will be measured and assessed for association with dislocation.
|
6 months
|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
uterus size (mm) will be measured and assessed for association with dislocation.
|
6 months
|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
uterine width (mm) will be measured and assessed for association with dislocation.
|
6 months
|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
cervical canal length(mm) will be measured and assessed for association with dislocation.
|
6 months
|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
endometrial canal length (mm) will be measured and assessed for association with dislocation.
|
6 months
|
Determination of factors associated with intrauterine device dislocation.
Time Frame: 6 months
|
endometrial canal width (mm) will be measured and assessed for association with dislocation.
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Fatma Ketenci Gencer, MD, Saglik Bilimleri Universitesi
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 30, 2021
Primary Completion (Actual)
March 15, 2023
Study Completion (Actual)
March 28, 2023
Study Registration Dates
First Submitted
February 3, 2022
First Submitted That Met QC Criteria
February 27, 2022
First Posted (Actual)
March 2, 2022
Study Record Updates
Last Update Posted (Actual)
June 5, 2023
Last Update Submitted That Met QC Criteria
June 2, 2023
Last Verified
June 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GaziosmanpasaTREHg
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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