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Research Article

JCDR. 2021; 12(3): 2413-2419


EVALUATION OF SUBENDOMETRIUM BLOOD FLOW IN CASES OF EXCESSIVE MENSTRUAL BLEEDING AFTER INTRAUTERINE CONTRACEPTIVE DEVICE

Fatma Salem Almakki, Khaled Baiomy Elsayed, Entesar Rushdy Mahdy, Abdel Razik El-Sayed Abdel Razik.


Abstract

Background: There is several possible mechanisms that explain the cause of menorrhagia in patient using intrauterine contraceptive device (IUCD). Abnormal uterine bleeding may be excessive to the extent of causing iron deficiency anemia. The aim of the present study was to compare of the Doppler parameter of subendometrium and uterine artery of the patients that complain of excessive menstrual bleeding after IUCD insertion to other patients have no excessive menstrual bleeding. Patients and methods: This study includes 54 women divided into three groups. Group I; included 18 women using copper intrauterine device (Tcu 380A) and complaining of menorrhagia, Group II; included 18 women using copper IUCD and not complaining of abnormal uterine bleeding and group III; included 18 women not using any contraceptive method and not complaining of abnormal uterine bleeding. Results: There is statistically significant difference between the studied groups regarding left uterine artery RI and PI. The cutoff of sub-endometrial RI in prediction of excessive menstrual bleeding if IUD inserted is ≥0.755 with area under curve 0.701 at which sensitivity 77.8%, specificity 69.4%, positive predictive value 56%, negative predictive value 86.2% and accuracy 72.2% (p

Key words: Subendometrium Blood Flow; IUCD; Menstrual Bleeding






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