[Hypermenorhagia in intrauterine anticonception and pelvic inflammations (author's transl)].

By means of a questionnaire and medical documentation, the authors studied a group of 569 women of fertile age in whom an IUD had been inserted for a period of 2 years between 1967-72. Among these patients, the authors observed a total of 30 cases of pelvic inflammation at the time of insertion. The authors demonstrated, statistically, that wearers of IUDs who suffer from hypermenorrhea and menorrhagia were more prone to develop pelvic inflammation, especially in cases where the interval of menstrual bleeding was markedly prolonged. These women would therefore be in greater danger by the possible results of these inflammations; i.e., sterility due to fallopian tube occlusion. The authors do not recommend the IUD for young women since it might lead to the intensification and protraction of menstrual bleeding. (author's)