{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T01:51:06Z","timestamp":1771033866825,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":578,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> The intrauterine contraceptive device (IUCD) is the most preferred method of reversible contraception in the world today. The Swedish Medical Products Agency currently recommends that women who had a copper IUCD inserted around age 40 do not need to have it extracted until one year after the menopause. <jats:italic>Design.<\/jats:italic> Retrospective study. <jats:italic>Setting.<\/jats:italic> Sk\u00f6vde Central Hospital, Sweden. <jats:italic>Population.<\/jats:italic> All 114 women receiving in\u2010patient treatment for pelvic inflammatory disease (PID) over five years between January 2001 and December 2005. <jats:italic>Methods.<\/jats:italic> Comparison between cases of tubo\u2010ovarian abscesses and salpingitis with focus on the effects of IUCDs used continually for &gt;5 years after insertion. <jats:italic>Main outcome measures.<\/jats:italic> Age\u2010adjusted risk of PID within or after five years of use, microbiological findings in blood, intraabdominal pus, cervical secretions or on extracted IUCDs. <jats:italic>Results.<\/jats:italic> There were 31 cases of tubo\u2010ovarian abscesses, 63 of salpingitis, four of endometritis, and 16 of mild genital infection. When comparing women with the same IUCD &gt; 5 years to women having the same IUCD \u2264 5 years, the risk of tubo\u2010ovarian abscess was higher than the risk of salpingitis (OR 19.7; 95% CI 4.5\u201387.2). The risk remained significant after adjustment for age, both on multiple regression analysis (OR 13.5; 95% CI 2.5\u201372.9) and in stratified analysis for the age group 35\u201350 years (OR 12.0; 95% CI 1.8\u201381.7). Blood or abdominal cultures from patients operated upon were positive in 47.7% of the sampled cases. Intestinal tract microbes and upper respiratory tract microbes were more common than sexually transmitted infection microbes. <jats:italic>Conclusions.<\/jats:italic> The current Medical Products Agency recommendation that a woman nearing the end of her reproductive phase can safely use the same IUCD for a period exceeding five years is challenged.<\/jats:p>","DOI":"10.1080\/00016340902893678","type":"journal-article","created":{"date-parts":[[2009,5,1]],"date-time":"2009-05-01T12:15:56Z","timestamp":1241180156000},"page":"680-684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Prolonged use of intrauterine contraceptive device as a risk factor for tubo\u2010ovarian abscess"],"prefix":"10.1111","volume":"88","author":[{"given":"GEORGIOS","family":"CHARONIS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PER\u2010G\u00d6RAN","family":"LARSSON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.12.024"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02699-4"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91904-M"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/13625189609150665"},{"key":"e_1_2_7_6_2","first-page":"341","article-title":"Twelve years of experience with the TCu380A and TCu220C","volume":"56","author":"United Nations Development Programme, United Nations Population Fund, World Health Organization and World Bank, Special Programme of Research, Development and Research Training in Human Reproduction Long\u2010term reversible contraception","year":"1997","journal-title":"Contraception"},{"key":"e_1_2_7_7_2","first-page":"7","volume":"7","author":"Information fr\u00e5n L\u00e4kemedelsverket","year":"2005","journal-title":"Antinkonception \u2013 behandlingsrekommendation [Information from the Swedish Medical Products Agency. Contraception \u2013 recommendation of treatment methods]"},{"key":"e_1_2_7_8_2","first-page":"1","article-title":"Sexually transmitted diseases treatment guidelines, 2006","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(96)00429-2"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.296.6632.1313"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(98)00114-0"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00810.x"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1086\/425929"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340600589776"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F00016340902893678","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/00016340902893678","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T02:53:01Z","timestamp":1697424781000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1080\/00016340902893678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,6]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,6]]}},"alternative-id":["10.1080\/00016340902893678"],"URL":"https:\/\/doi.org\/10.1080\/00016340902893678","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,6]]},"assertion":[{"value":"2010-12-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}