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Clinical Trial
. 2003 Mar 26;107(1):81-4.
doi: 10.1016/s0301-2115(02)00342-1.

A randomized controlled trial of coil removal prior to treatment of pelvic inflammatory disease

Sabahattin Altunyurt  1 , Namik Demir, Cemal Posaci
Affiliations
Clinical Trial

A randomized controlled trial of coil removal prior to treatment of pelvic inflammatory disease

Sabahattin Altunyurt et al. Eur J Obstet Gynecol Reprod Biol. .

Abstract

Objective: To evaluate the effects of removing coils on the treatment of mild and moderate pelvic inflammatory disease (PID).

Methods: Of 126 women who had mild to moderate PID during coil usage, 60 were treated following coil removal and 66 without. Clinical symptoms, findings of gynecologic examination, erythrocyte sedimentation rates (mm/h), leukocyte counts (mm(-3)) were recorded before and after treatment and recovery rates of symptoms and findings were compared with Chi-square and Fisher's absolute Chi-square tests. Student's t-test was used for the comparison of mean sedimentation rates and leukocyte counts.

Results: Recovery rates of pelvic pain, purulent vaginal discharge, dysuria/frequency and dyspareunia and clinical improvements in abdominal and cervical tenderness were significantly higher (P<0.05) in the coil removed group.

Conclusions: Removing the coil before medical therapy, increases the rates of clinical improvement in mild to moderate PID.

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