All patients enrolled will undergo a transabdominal ultrasound at a specified time point as outlined in the protocol.

Dysmenorrhea

Heavy Menstrual Bleeding

Contraception

This is for intrauterine device placement so all participants must have a uterus.

Transabdominal Ultrasound

Children's Mercy Hospital

Ultrasound Evaluation Versus Direct Measurement of Uterine Cavity Length

Ultrasound Evaluation Versus Direct Measurement of Uterine Cavity Length: a Prospective Study

To determine if uterine cavity length on ultrasound corresponds to uterine cavity length at time of IUD insertion

Children's Mercy Hospital Kansas City

Patients who are clinically undergoing intrauterine device (IUD) placement will be consecutively studied

All participants will have IUD inserted and follow up for occurance of complications

Intrauterine Device Migration

Insert a warm, moistened speculum. Cleanse the cervix with an antiseptic solution. Apply gentle traction with the tenaculum to straighten the canal. Remove the sound by its handle and gently insert to measure the depth of the uterus. Do not apply great force if there is resistance. Apply further traction to the tenaculum and attempt to re-insert the sound at a different angle. Once the sound is inserted and removed, note the depth of the uterine cavity. The woman can expect to feel cramping as the sound is inserted and withdrawn.
Load the IUD and insert it into the uterine cavity according to the manufacturer instructions. As the IUD is inserted through the cervix into the uterus, the patient may have pain and cramping similar to strong menstrual cramps.
Gently remove the tenaculum. Trim the strings of the IUD to 3-4 cm in length Remove the speculum and assess the woman.

muscle cramp/carie dentară

Ultrasound Evaluation Versus Direct Measurement of Uterine Cavity Length

Association Between Clinical, Laboratory, Ultrasongraphy Predictors And Development of Copper IUD Complications

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