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Table 2 Complications and side effects associated with IUD insertion and tubal sterilization over time

From: Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion

 

Copper IUD

LNG IUD

Tubal Sterilization

Complications/Side Effect

n (%)

n (%)

n (%)

Amenorrhea (ICD-9 626.0)

 Total (2006–2011)

2385 (8.99)ab

9077 (7.53)ac

7050 (11.67)bc

 2006

308 (8.92)

941 (7.82)

1638 (11.00)

 2007

381 (10.02)

1278 (7.61)

1614 (10.93)

 2008

412 (9.21)

1873 (7.72)

1700 (11.59)

 2009

448 (9.20)

1845 (7.44)

1658 (11.14)

 2010

452 (8.62)

1518 (7.36)

1429 (10.73)

 2011

384 (8.20)

1622 (7.36)

1371 (10.92)

P Value

0.0775

0.4191

0.2768

Anemia (ICD-9 280.xx)

 Total (2006–2011)

595 (2.24)b

2832 (2.35)c

2003 (3.32)bc

 2006

67 (1.94)

279 (2.32)

435 (2.92)

 2007

78 (2.05)

386 (2.30)

433 (2.93)

 2008

106 (2.37)

538 (2.22)

492 (3.35)

 2009

119 (2.44)

600 (2.42)

513 (3.45)

 2010

135 (2.57)

512 (2.48)

481 (3.61)

 2011

90 (1.92)

517 (2.35)

469 (3.73)

P Value

0.1496

0.5243

0.0001

Dysmenorrhea (ICD-9 625.3)

 Total (2006–2011)

733 (2.76)ab

3909 (3.24)ac

2491 (4.12)bc

 2006

90 (2.61)

378 (3.14)

587 (3.94)

 2007

85 (2.50)

566 (3.37)

591 (4.00)

 2008

132 (2.95)

723 (2.98)

598 (4.08)

 2009

139 (2.86)

807 (3.25)

647 (4.35)

 2010

137 (2.61)

692 (3.35)

649 (4.87)

 2011

140 (2.99)

743 (3.37)

606 (4.82)

P Value

0.6388

0.1234

<0.0001

Heavy Menstrual Bleeding (ICD-9 626.2)

 Total (2006–2011)

1370 (5.16)ab

10 204 (8.46)ac

7328 (12.13)bc

 2006

204 (5.91)

1048 (8.71)

1687 (11.33)

 2007

198 (5.21)

1406 (8.37)

1750 (11.85)

 2008

224 (5.01)

1846 (7.60)

1922 (13.10)

 2009

256 (5.26)

1992 (8.03)

2045 (13.74)

 2010

261 (4.98)

1881 (9.11)

2006 (15.07)

 2011

227 (4.85)

2031 (9.22)

1971 (15.69)

P Value

0.3527

<0.0001

<0.0001

Infection (ICD-9 998.5x)

 Total (2006–2011)

15 (0.06)

88 (0.07)c

18 (0.03)c

 2006

4 (0.12)

12 (0.10)

2 (0.01)

 2007

1(0.03)

14 (0.08)

2 (0.01)

 2008

6 (0.13)

15 (0.06)

7 (0.05)

 2009

2 (0.04)

25 (0.10)

4 (0.03)

 2010

0 (0.00)

14 (0.07)

4 (0.03)

 2011

2 (0.04)

8 (0.04)

5 (0.04)

P Value

0.0543

0.1255

0.4301

Menorrhagia (ICD-9 627.0)

 Total (2006–2011)

53 (0.20)ab

528 (0.44)ac

410 (0.68)bc

 2006

12 (0.35)

48 (0.40)

88 (0.59)

 2007

6 (0.16)

58 (0.35)

94 (0.64)

 2008

11 (0.25)

84 (0.35)

92 (0.63)

 2009

12 (0.25)

89 (0.36)

119 (0.80)

 2010

8 (0.15)

121 (0.59)

121 (0.91)

 2011

4 (0.09)

128 (0.58)

126 (1.00)

P Value

0.1181

<0.0001

<0.0001

Ovarian Cyst (ICD-9 620.2)

 Total (2006–2011)

1157 (4.36)ab

6340 (5.26)ac

4324 (7.16)bc

 2006

140 (4.05)

539 (4.48)

1045 (7.02)

 2007

155 (4.08)

786 (4.68)

990 (6.70)

 2008

211 (4.72)

1268 (5.22)

1076 (7.34)

 2009

209 (4.29)

1400 (5.64)

1039 (6.98)

 2010

223 (4.25)

1142 (5.53)

1003 (7.53)

 2011

219 (4.68)

1205 (5.47)

910 (7.25)

P Value

0.5197

<0.0001

0.0975

Pelvic Inflammatory Disease (ICD-9 614.xx–616.xx)

 Total (2006–2011)

5053 (19.05)ab

19 063 (15.81)ac

11 162 (18.48)bc

 2006

13 (0.38)

40 (0.33)

64 (0.43)

 2007

12 (0.32)

53 (0.32)

66 (0.45)

 2008

23 (0.51)

74 (0.30)

69 (0.47)

 2009

15 (0.31)

60 (0.24)

54 (0.37)

 2010

12 (0.23)

49 (0.24)

41 (0.31)

 2011

18 (0.38)

58 (0.26)

25 (0.20)

P Value

0.282

0.3727

0.02

Pelvic Pain (ICD-9 625.9, 789.00)

 Total (2006–2011)

3222 (12.15)ab

13 891 (11.52)ac

8323 (13.78)bc

 2006

384 (11.12)

1395 (11.60)

1987 (13.35)

 2007

466 (12.25)

1915 (11.41)

1997 (13.52)

 2008

519 (11.60)

2729 (11.24)

1976 (13.47)

 2009

627 (12.88)

2897 (11.68)

2117 (14.23)

 2010

661 (12.60)

2419 (11.72)

1881 (14.13)

 2011

565 (12.07)

2536 (11.51)

1792 (14.27)

P Value

0.1449

0.617

0.0593

Perforation of Uterine Wall (ICD-9 621.8, 665.3)

 Total (2006–2011)

412 (1.55)ab

1558 (1.29)ac

387 (0.64)bc

 2006

40 (1.16)

142 (1.18)

57 (0.38)

 2007

51 (1.34)

176 (1.05)

76 (0.51)

 2008

48 (1.07)

301 (1.24)

91 (0.62)

 2009

88 (1.81)

319 (1.29)

119 (0.80)

 2010

98 (1.87)

307 (1.49)

103 (0.77)

 2011

87 (1.86)

313 (1.42)

109 (0.87)

P Value

0.0014

0.0023

<0.0001

  1. abcChi square pairwise comparisons between groups with the same superscript, P < 0.05. The pairwise comparisons were done for the total for each complication/side effect across years 2006–2011 and not for the individual years