PERFORMANCE OF COPPER INTRAUTERINE-DEVICES WHEN INSERTED AFTER AN EXPULSION

A total of 124 women who re-inserted a TCu-200B intrauterine device (I UD) following an expulsion were followed up for 1 year after the IUD r e-insertion. The cumulative expulsion rate at 6 months was 21.7 and 31 .4 per 100 women at the end of the first year. Women who expelled the first IUD within the first 3 months of use had a significantly higher expulsion rate with the second IUD. Our conclusion is that women who e xpelled a copper IUD are at a significantly higher risk of expelling t he re-inserted IUD than the first IUD. Health workers must also be inf ormed about the high probability of another expulsion when re-insertin g an IUD after an expulsion.