Publication Details
Abstract
This study aimed to identify the frequency of intrauterine contraceptive device (IUCD) malposition and the primary contributing factors using advanced diagnostic techniques. The research specifically focused on assessing the effectiveness of three-dimensional (3D) ultrasonography in detecting and evaluating IUCD malposition and its consequences. A cross-sectional study was conducted from January to June 2022 in the gynecology and obstetrics departments of Al Falluja General Hospital, Salahuddin General Hospital, and a private ultrasonography clinic. Data were collected through direct interviews, medical history reviews, physical examinations, and both 2D and 3D ultrasound imaging. The study involved 100 women, with a focus on demographic factors, symptoms, and the accuracy of IUCD placement as observed through ultrasound imaging. The results demonstrated that 33% of the women experienced IUCD malposition, with 3D ultrasonography significantly improving detection accuracy compared to 2D ultrasound. The study also found a significant association between IUCD malposition and symptoms such as pain and bleeding, as well as certain uterine abnormalities. These findings suggest that 3D ultrasonography is superior in detecting IUCD malposition, which could lead to better management and treatment outcomes for affected women.