الفهرس 
? Intrauterine ContraceptionOnly 14 pages are availabe for public view
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Abstract
Background: A Intrauterine devices (IUDs) are the most widely used reversible method of contraception. However, menorrhagia is among its side effects that may cause iron deficiency anemia and usually ends by removing the IUCD in the first year after its insertion in many cases.
Objectives: The aim of present study to study 3D coronal plane of the uterus and subendometrial 3D power Doppler indices in cases using intrauterine contraceptive devices for contraception with and without menorrhagia, aiming to find the best predictor of menorrhagia with IUCD insertion.
Patients and Methods: The study includes data of 150 women divided into three groups. group (I); will include data of 50 women using copper T380 IUCD and complaining of menorrhagia, group (II): will include data 50 women using CuT380 IUCD and not complaining of menorrhagia. They attended the outpatient clinic for follow up, group (III): (Control group) which includes data of 50 normal women not using IUCD acting as controls.
Results: The endometrial cavity width was narrow in women with copper IUD induced menorrhagia than women with copper IUD without menorrhagia. By using ROC curves, the optimum cutoff value of endometrial cavity width was 31.5 with a sensitivity of 88%, specificity 95%. Also our study revealed that uterine artery and subendometrial blood flow were increased in women with IUCD induced menorrhagia in comparison to women with copper IUCD and not complaining of heavy menstrual bleeding and women without copper IUD. By using ROC curves, the optimum cutoff value of sub VI was >5.35, sub FI was >29.45 and sub VFI > 0.98 with sensitivity of 100%, 100% and 100 % and specificity 95 %, 100 % and 96 % respectively.
Conclusion: Endometrial cavity width were significant lower in women with copper IUD induced menorrhagia than women with copper IUD without menorrhagia. 3D power Doppler vascular indices (VI, FI, VFI) were significantly higher in women with IUD induced menorrhagia than women of group II and III. Uterine arteties RI and PI were significantly lower in women with copper IUD induced menorrhagia. Subendometrial blood flow RI, PI, were significantly lower in women with copper IUD induced menorrhagia than women of group II and III.