Comparing of Bleeding and Dysmenorrhea with Multi Load CU 375 and CU 380A Intrauterine Device in Women referred to Health Center in Tabriz: A Randomized Clinical Trial.

Abstract

Abstract: Background: One of the most common complications of intrauterine device (IUD) users is bleeding and dysmenorrhea. These complications are varied in different type of IUD. Aim: The aim of this study was to compare bleeding and dysmenorrhea in two types of intrauterine device (Multi load 375 and Copper T380A). Materials: A randomized double –blinded controlled clinical trial was carried out in 48 women at a public health center from 2011 Sep -2012 Oct, in Tabriz/ Iran. The participants allocated randomly into two equal group. Group 1 received the multi –load 375 and group 2 received the copper T 380A. Randomization was made using permuted block. We measured the amount of participant bleeding with Higham chart and Pain visual analog scale during menstruation, one cycle before the insertion and four cycles thereafter. The Independent sample T test, analysis of Covariance, a repeated measure of ANOVA, the Mann –Whitney U, Ordinal Regression, Freidman' rank test were performed on data than 0.05 was considered to be significant. The statistical analysis was performed by SPSS version 13.0 for Windows. Results: The results showed that the mean of bleeding scores, severity and duration of dysmenorrhea was statistically significant in two groups with adjusting for baseline measurement and confounding variables (p<0.001). The bleeding amount, severity and duration of dysmenorrhea in multi –load 375 group was decreased and in copper T 380A groups was increased. Conclusion: The multi –loaded IUD resulted in considerable reduction in the amount of bleeding severity and duration of dysmenorrhea. Therefore, counseling about both MLCU 375 IUD and Copper T 380A IUD in the family planning service providers seems to be necessary.