{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T16:54:52Z","timestamp":1773680092691,"version":"3.50.1"},"reference-count":8,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2009,5,19]],"date-time":"2009-05-19T00:00:00Z","timestamp":1242691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose.<\/jats:title><jats:p>To evaluate the hemodynamic changes by transvaginal color Doppler sonography (CDS) in the uterine vascular bed after the insertion of a contraceptive intrauterine device (CIUD) and to investigate whether those CDS findings could predict potential side effects, such as dysmenorrhea and abnormal bleeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method.<\/jats:title><jats:p>Pulsatility index (PI), resistance index, and systole\/diastole ratio (S\/D) were measured in the uterine artery and its myometrial branches on 28 patients before and after the insertion of copper IUD, and a correlation with dysmenorrhea and abnormal bleeding was investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result.<\/jats:title><jats:p>PI and S\/D values in the uterine artery increased significantly after the insertion of the CIUD (<jats:italic>p<\/jats:italic> &lt; 0.05). Patients with increased bleeding scores after insertion of CIUD had significantly lower uterine artery PI compared with those without increased bleeding scores (<jats:italic>p<\/jats:italic> &lt; 0.05). No statistically significant difference was detected in the Doppler flow parameters regarding dysmenorrhea scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Low uterine artery PI values recorded in the early phase of the menstrual cycle in patients with a CIUD were associated with an increased bleeding risk. \u00a9 2009 Wiley Periodicals, Inc. J Clin Ultrasound 2009<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.20587","type":"journal-article","created":{"date-parts":[[2009,5,19]],"date-time":"2009-05-19T19:59:13Z","timestamp":1242763153000},"page":"380-384","source":"Crossref","is-referenced-by-count":11,"title":["The effects of copper contraceptive intrauterine device on the uterine blood flow: A prospective transvaginal Doppler study"],"prefix":"10.1002","volume":"37","author":[{"given":"Nuray","family":"Yigit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmut","family":"Kacar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Yigit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pinar","family":"Kosar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugur","family":"Kosar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,5,19]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"777","volume-title":"Clinical gynecologic endocrinolgy, and infertility","author":"Speroff L","year":"1994"},{"key":"e_1_2_1_3_2","first-page":"450","article-title":"The effect of using copper intrauterine device for various periods of time on uterine artery blood flow","volume":"13","author":"Yilmazer M","year":"2003","journal-title":"T Klin J Gynecol Obst"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2000.19.8.577"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/13.7.1841"},{"key":"e_1_2_1_6_2","first-page":"36","volume-title":"Color Doppler sonography in gynecology","author":"Kupesic S","year":"2005"},{"key":"e_1_2_1_7_2","first-page":"242","volume-title":"Clinical Doppler ultrasound","author":"Rowlands DJ","year":"2000"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1994.04030231.x"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2006.25.2.153"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.20587","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.20587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T13:46:45Z","timestamp":1699969605000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.20587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,19]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["10.1002\/jcu.20587"],"URL":"https:\/\/doi.org\/10.1002\/jcu.20587","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,19]]}}}