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The incidence of actinomyces-like organisms in Papanicolaou-stained smears of copper- and levonorgestrel-releasing intrauterine devices.
Journal article

The incidence of actinomyces-like organisms in Papanicolaou-stained smears of copper- and levonorgestrel-releasing intrauterine devices.

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  • 2000-08-26
Published in:
  • Contraception. - 2000
Contraception
Contraceptive Agents
Contraceptive Agents, Female
Contraceptive Agents, Progestin
Contraceptive Methods
Developed Countries
Diseases
Europe
Examinations And Diagnoses
Family Planning
Infections
Iud
Iud, Copper Releasing
Iud, Hormone Releasing
Levonorgestrel
Pelvic Inflammatory Disease
Reproductive Tract Infections
Research Methodology
Research Report
Retrospective Studies
Studies
Switzerland
Western Europe
Actinomyces
Actinomycosis
Female
Humans
Intrauterine Devices, Copper
Intrauterine Devices, Medicated
Levonorgestrel
Papanicolaou Test
Pelvic Inflammatory Disease
Vaginal Smears
English Actinomyces-like organisms (ALOs) are a common finding in Papanicolaou-stained cervico-vaginal smears (PAP smears) of women using an intrauterine device (IUD). The incidence of ALOs positive PAP smears depends on the type of IUD. Pelvic actinomycosis is a severe disease that may require hysterectomy and salpingo-oophorectomy. In a retrospective study we compared the incidence of ALOs positive PAP smears in users of the new levonorgestrel-releasing intrauterine device (LNG-IUD) (n = 52) with the incidence in Multiload Copper IUD (ML375) users (n = 104). All IUDs had been inserted from 1996-1998. Women with a follow-up period of more than 9 months were included into the final analysis (LNG-IUD: n = 34; ML375: n = 65). The incidence of ALOs in LNG-IUD users (2.9%) was significantly lower than in ML375 users (20%). Clinical consequences of ALOs positive PAP smears are discussed controversially. The low incidence in the LNG-IUD users probably leads to less IUD-removals, reinsertions and less pelvic-inflammatory-diseases.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/252965
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