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

ALTUNYURT S., Demir N., Posaci C.

EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, vol.107, no.1, pp.81-84, 2003 (SCI-Expanded) identifier identifier identifier


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. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.