The Copper T380A IUD vs. Oral Levonorgestrel for Emergency Contraception (IUD EC)
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Purpose
The purpose of this study is to see if women presenting for emergency contraception (EC) and choose the copper intrauterine device (IUD) will have fewer unplanned pregnancies in the next year compared to women who choose oral levonorgestrel for EC. The study will also compare use of an effective method of contraception in the year after they received EC.
| Condition | Intervention |
|---|---|
|
Pregnancy |
Drug: Copper T380 IUD Drug: Oral levonorgestrel |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Preventing Future Pregnancy After Choosing the Copper IUD vs. Oral Levonorgestrel for Emergency Contraception |
- Unplanned pregnancy [ Time Frame: within 12 months of presenting for EC ] [ Designated as safety issue: No ]
- Use of an effective method of contraception in the year following use of emergency contraception. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- IUD expulsion, removal or perforation [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 549 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
IUD
Women presenting for emergency contraception who select the copper IUD
|
Drug: Copper T380 IUD
copper T 380 IUD
Other Name: Paragard IUD
|
|
Oral levonorgestrel
Women presenting for emergency contraception who select oral levonorgestrel
|
Drug: Oral levonorgestrel
1.5 mg
Other Name: Plan B
|
Detailed Description:
All women presenting to 2 Planned Parenthood Association of Utah clinics in Salt Lake City will be offered participation in this study. Women will select either the copper IUD or oral levonorgestrel for EC. The primary outcome is unplanned pregnancy in the year following presentation for EC.
Secondary outcomes include use of an effective method of contraception over the next year, abortions, repeat use of EC, number of days to first bleeding episode and duration of that bleeding episode, use of a barrier method to prevent sexually transmitted infections, patient satisfaction with the chosen method of EC and contraception. Participants selecting the IUD will be assessed for IUD expulsion, perforation, and removal.
Eligibility| Ages Eligible for Study: | 18 Years to 30 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Women presenting to family planning clinics for emergency contraception
Inclusion Criteria:
- Women 18-30 years old,
- in need of emergency contraception (had unprotected intercourse within 120 hours),
- willing to give consent for participation in research,
- willing to comply with study requirements, and
- accessible by telephone.
Participants selecting the IUD need to identify themselves as desiring long-term contraception.
Exclusion Criteria:
- Current pregnancy
- Had pelvic inflammatory disease or septic abortion within the past 3 months or had gonorrhea or chlamydia infection in the last 60 days
- Current behavior suggesting a high risk for pelvic inflammatory disease
- Allergy to copper or Wilson's disease (for participants selecting the copper IUD) or allergy to levonorgestrel (for participants selecting oral levonorgestrel)
- Abnormalities of the uterus that distort the uterine cavity
- Mucopurulent cervicitis
- A previously placed IUD that has not been removed
- Genital bleeding of an unknown etiology
- Ovarian, cervical, or endometrial cancer
- Small uterine cavity (< 6cm)
Contacts and Locations| United States, Utah | |
| Planned Parenthood Association of Utah Salt Lake City Clinic | |
| Salt Lake City, Utah, United States, 84102-3430 | |
| Planned Parenthood Association of Utah, West Valley City Clinic | |
| West Valley City, Utah, United States, 84119-4715 | |
| Principal Investigator: | David Turok, MD | University of Utah |
More Information
No publications provided
| Responsible Party: | David Turok, Clinical Assistant Professor, University of Utah |
| ClinicalTrials.gov Identifier: | NCT00966771 History of Changes |
| Other Study ID Numbers: | 30937, 1R21HD063028-01A1 |
| Study First Received: | August 25, 2009 |
| Last Updated: | December 15, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of Utah:
|
contraception emergency contraception pregnancy prevention after unprotected intercourse |
Additional relevant MeSH terms:
|
Emergencies Disease Attributes Pathologic Processes Copper Levonorgestrel Trace Elements Micronutrients Growth Substances |
Physiological Effects of Drugs Pharmacologic Actions Contraceptive Agents, Female Contraceptive Agents Reproductive Control Agents Therapeutic Uses Contraceptives, Oral, Synthetic Contraceptives, Oral |
ClinicalTrials.gov processed this record on May 21, 2013