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- W2137584205 abstract "<h3>Background</h3> Bladder distension is thought to cause the uterine axis to become more aligned with the cervical canal. Among women undergoing assisted conception it has been demonstrated that having a full bladder facilitates the passage of an intrauterine catheter for embryo transfer. <h3>Objective</h3> To determine if insertion of intrauterine contraceptive devices is easier in women who have a full bladder at the time of insertion. <h3>Methods</h3> 200 women requesting intrauterine contraception with a pre-filled bladder were randomised to delayed emptying (after insertion; <i>n</i>=100) or immediate emptying (before insertion; <i>n</i>=100). Comparisons were made between doctors’ reported ease of insertion and women9s pain scores. <h3>Results</h3> There was no significant difference with reported ease of insertion between the groups. Doctors reported that insertions were either ‘very easy’ or ‘quite easy’ in 82% and 83% of women in the immediate and delayed emptying groups, respectively (95% CIs for difference −10% to +11%). There was no significant difference in reported pain scores, with mean pain scores (out of 10) of 3.8 and 4.4 in the delayed and immediate emptying groups, respectively. <h3>Conclusions</h3> Bladder filling does not have a significant effect on ease of insertion of an intrauterine method of contraception. Insertion is mostly associated with low levels of discomfort, even in the presence of a full bladder." @default.
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- W2137584205 date "2013-01-24" @default.
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- W2137584205 title "Does a full bladder assist insertion of intrauterine contraception? A randomised trial" @default.
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- W2137584205 doi "https://doi.org/10.1136/jfprhc-2012-100422" @default.
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