Randomised controlled trial assessing the acceptability of GyneFix versus Gyne- XXXX for emergency contraception.

@entity1 @entity72445 @entity548 @entity16732 @entity158
OBJECTIVE: To assess insertion-linked @entity158 and the short-term user-acceptability and safety of the GyneFix as compared with T-framed @entity16732 ( @entity16732 ). DESIGN: A randomised controlled trial in an outpatient clinic setting. METHOD: @entity1 requesting an IUD for emergency contraception (EC) were allocated to either the short-term arm (GyneFix versus Nova-T200, or the long-term arm (GyneFix versus Gyne- @entity72445 , and then randomised within each group. Visual analogue scores were used to assess the @entity1 's perception of the @entity158 associated with insertion, which was @entity1 -blinded. Follow-up was double-blinded, at 6 weeks, with @entity548 and @entity158 recorded over this time. RESULTS: A total of 175 @entity1 received an IUD in the long-term arm. The short-term arm was discontinued due to low recruitment (17 @entity1 at 20 months) and therefore the results relate to the long-term arm only. Outcome was known in 98% of subjects. The actual insertion procedure was scored as more @entity158 for the GyneFix, both by the @entity1 (p = 0.013) and the doctors making their assessment of the @entity1 's @entity158 (p = 0.04). The @entity1 with GyneFix described less @entity158 in the subsequent 30 days after insertion (p = 0.005). Only 13% of @entity1 with GyneFix requested removal as compared with 20% with Gyne- @entity72445 , with the difference being attributed to removal due to @entity158 . The @entity548 pattern was similar for those using GyneFix and Gyne- @entity72445 . CONCLUSIONS: Our study suggests that although the actual fitting may be more @entity158 , @entity158 is less during the 6 weeks after insertion of GyneFix and fewer @entity1 discontinue its use because of @entity158 , as compared with Gyne- @entity72445 . The high overall continuation rate of all emergency @entity16732 at 6 weeks and low morbidity seen in this study favours more frequent IUD insertion where unprotected intercourse has occurred, given also its higher efficacy over oral hormonal EC.
