IUD Insertion Clinical Trial
Official title:
Comparaison de la Douleur Lors de la Pose Des DIU et SIU Entre la méthode Classique et la méthode Directe
The so-called "direct" method of intrauterine device (IUD) and intraintuerine system (IUS)
insertion is increasingly used. A study has shown that it is technically simpler and assumes
less painful than the classic pose.
It seems interesting to compare the pain felt by the patients during IUD / IUS insertion in
these two methods of placement and also to confirm that there is no more malposition with the
direct method.
The classic method uses: a Pozzi for pulling the uterus to horizontalize it and a
hysterometer to visualize the axis of the uterus and to measure the distance between the
external orifice of the cervix and the uterine fundus in order to deploy the IUD / IUS.
In the so-called direct technique, the operator does not measure the depth of the uterus
thanks to a hysterometer and does not draw the cervix with a Pozzi forceps, the IUD / IUS is
deployed as soon as the orifice passes. inside the cervix and the inserter tube does not
enter the uterine cavity. With this method the Pozzi forceps is only used as a second line,
especially in case of a fleeing neck.
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