Objectives: This research aimed to evaluate Doppler Ultrasound value in prediction and follow up of copper 380
intrauterine contraceptive device (IUCD) induced excessive menstrual bleeding. Patients and methods: This was a
prospective study performed on a total of 120 cases seeking 380 IUCD insertion. All the cases were subjected to 1) Full
history taking, 2) General examination, 3) pelvic examination, 4) Abdominal exam, 5) Speculum examination to detect and
exclude any bleeding local cause as erosion and polyp, 6) Menstrual history, 7) Obstetric history and 8) Doppler US.
Results: Uterine artery resistance index (RI) and pulsatility index (PI) before and after IUD were negatively correlated with
IUCD induced bleeding (P < 0.001). The RI and PI of sub-endometrium prior and following IUD were negatively
correlated with the IUCD induced bleeding (P < 0.001) while visual field index (VFI) and vascularization index (VI) before
and after IUD were positively correlated with the IUCD induced bleeding (P < 0.001). Also, endometrium flow index (FI),
VFI and VI before and after IUD were positively correlated with the IUCD induced bleeding (P < 0.001). The uterine artery
RI and PI prior and following IUD were negatively correlated with the IUCD induced bleeding (P < 0.001). Conclusions:
Medical professionals should give women unbiased information on the potential variations in bleeding they may face if
there is no extremely successful medication for excessive bleeding in the first few months following copper IUD
placement |
