Uterine Artery Doppler Sonography in Intrauterine Contraceptive Device Users with / without Abnormal Uterine Bleeding

Manu Agrawal, Seema Mehta, Shachi Panchariya

Abstract: The aim of the study was to evaluate the effect of copper intrauterine contraceptive device on uterine artery blood flow using transvaginal doppler sonography.The study was conducted on 120 women using copper IUCD after 3 or more months of CuT insertion. They were classified into 2 groups. Group I (60 cases): cases with AUB and group II (60 controls): cases without AUB. Transvaginal doppler analysis of uterine artery was doneon day 5 of menstrual cycle. The Pulsatility Indices (PI) and resistance indices of both right and left uterine arteries were measured. Doppler parameters were compared between both groups.There were no significant differences between the control group and bleeding group as regarding resistance and pulsatility indices (p>0.05). To conclude, neither the presence of an IUCD, nor the associated AUB seem to cause any change in uterine blood flow assessed by Doppler ultrasonography.

Keywords: Copper intrauterine device, Uterine artery Doppler, Abnormal uterine bleeding