Cited by 9Reproductive Health and ContraceptionCervical Cancer and HPV ResearchGynecological conditions and treatments

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Cytopathological changes in human cervix and endometrium following prolonged retention of copper-bearing intrauterine contraceptive devices

Misra, Jata S., Engineer, Amy D., Tandon, Prabha·1989·Diagnostic Cytopathology

Abstract

Since 1971, cytological evaluation of cervical smears and endometrial aspirates was carried out in 604 women wearing CuT200 intrauterine contraceptive devices (IUDs) for periods ranging from 6 mo to 15 yr. No cases of cervical neoplasia or endometrial carcinoma were encountered, even after continuous use of the device for 15 years. Dysplastic cervical smears were, however, found in 45 postinsertional smears, and endometrial hyperplasia was detected in seven aspirates; in no cases was the dysplasia or hyperplasia higher than of moderate degree. Thirty-nine of the 45 women with postinsertional dysplastic smears were followed for 3-4 yr; in no case did the lesion progress to a higher grade or to frank malignancy. However, persistence and recurrence of dysplasia were seen in 10 women, necessitating removal of the IUDs. The incidence of cervical dysplasia and endometrial hyperplasia was found to be much higher when the IUDs had been changed than when the original devices were worn continuously. The rate of removal of IUDs because of persistent or recurring dysplasia was also much higher in the former group. Since no pregnancies were reported in any of the women wearing the original device for as long as 15 yr, we do not advocate the practice of changing the device at the end of 3 yr for maintaining contraceptive efficacy as recommended by the manufacturers; instead, we recommend the uninterrupted retention of the original device for periods not longer than 5 yr in view of occurrence of endometrial hyperplasia in two 6-yr wearers.

Overview

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Crossref · 10.1002/dc.2840050302

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4 of 4 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Misra, J. S., Engineer, A. D., & Tandon, P.
Affiliations
King George's Medical University (IN)
Corresponding author
Misra, Jata S.
Venue
Diagnostic Cytopathology
Publisher
Wiley
Published
1989-07
Volume
5
Issue
3
Pages
237-242
ISSN
  • 1097-0339 (ISSN-L)
  • 8755-1039
OpenAlex
W2108541172
Cited by
9
References
4
Citations by year
2022: 2 · 2020: 1 · 2013: 1
FWCI
1.05
Type
journal article
Language
en
Open access
closed
Locations
  • Diagnostic Cytopathology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Queen Mary University of London
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Keywords
cervical intraepithelial neoplasia, endometrial hyperplasia, cervical neoplasia, endometrial cancer, cervical cytology, long-term IUD use
MeSH terms
Adult, Uterine Cervical Dysplasia, Cervix Uteri, Endometrium, Female, Humans, Inflammation, Intrauterine Devices, Copper, Vaginal Smears

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