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Female Contraception: Comparative Study of Biometrics and Vascularization of the Uterus at Sylvanus Olympio University Hospital (Togo)

DOI: 10.4236/ojog.2024.141015, PP. 162-174

Keywords: Contraception, Endometrium, Uterine Artery, Doppler

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Abstract:

Female contraception uses both hormonal and non-hormonal methods. The aim of the study is to determine the impact of female contraception on uterine vascularisation and the endometrium. Method: It was a descriptive comparative study with an analytical aim. It took place at the University Clinic of Obstetrics Gynaecology and the Radiology and Medical imaging Department of Sylvanus Olympio University Hospital in Lomé over a two-month period from May 15, 2023 to July 15, 2023. Group 1 included women using a modern contraceptive method and group 2 women not using a modern contraceptive method. Epidata 3.1 and R 4.0.4 software were used to process the data. Results: Each group included 50 women. There were no significant differences in uterine and endometrial biometrics. All women on contraception had their zone 1 vascularized, without vascularisation of zone 2, without significant difference with women without contraception The pulsatility index was greater than 3 in 51% (n = 51) of women, including 62.7% (n = 32) of women without contraception and 37.3% (n = 19) of women on contraception, with a statistically significant difference (p = 0.009). Conclusion: Contraceptive methods do not influence the biometry of the uterus. However, uterine artery Doppler indices can predict abnormal uterine bleeding.

References

[1]  World Health Organization (2023) Family Planning/Contraception Methods.
https://www.who.int/fr/news-room/fact-sheets/detail/family-planning-contraception
[2]  World Health Organization (2015) Medical Eligibility Criteria for Contraceptive Use.
https://www.who.int/publications-detail-redirect/9789241549158
[3]  World Health Organization (2016) Selected Practice Recommendations for Contraceptive Use. 3rd Edition, World Health Organization, Genève.
https://iris.who.int/handle/10665/252267
[4]  Chantalat, E., Merigo, O., Delchie, M.C., Louwer, F., Chaynes, P. and Rimailha, J. (2015) Anatomical, Surgical and Radiological Study of the Origin of the Uterine Artery and Clinical Applications. Morphology, 99, 77.
https://doi.org/10.1016/j.morpho.2015.07.013
[5]  Kupesic, S., Bekavac, J., Bjelos, D. and Kurjak, U. (2023) Assessment of Endometrial Receptivity by Transvaginal Color Doppler and Three-Dimensional Power Doppler Ultrasonography in Patients Undergoing in Vitro Fertilization Procedures. Journal of Ultrasound in Medecine, 20, 125-134.
[6]  Gandaho, T., Streifel, C., Maiga, M. and Chen, A. (2014) Repositioning Family Planning in Togo: The Contraceptives Pricing Policies. Futures Group, Washington DC.
[7]  Republic of Togo (2007) Loi n°2007-005 du 10 janvier 2007 sur santé de la reproduction. Journal officiel de la Républiquetogolaise, 11-14.
[8]  Atake, E.H. and Gnakou Ali, P. (2020) Gender and Planning in Sub-Saharan Africa. African Economic Research Consortium (AERC), Nairobi.
[9]  Ouedraogo, R. (2015). 13. Contraceptives Rmethods Causesterility in Received Ideas in Global Healthcare [en ligne]. Presses de l’Université de Montréal, Montréal.
[10]  Dare, N.G.B. and Sawadogo, N. (2018) Influence of Women’s Status on the Use of Modern Contraception among Women in Union in Togo. African Population Studies, 32, 3982-3992.
[11]  Madelenat, P., Koskas, M. and Progestatin Contraception Focus Group (2008) Update on the Progestin-Only Contraception. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 37, 637-660.
https://doi.org/10.1016/j.jgyn.2008.06.013
[12]  Robin, G., Plouvier, P., Delesalle, A.S. and Rolland, A.L. (2018) Effectiveness and Use of Hormonal Contraceptives (Except for Intrauterine Devices): CNGOF Contraceptive Guidelines 2018. Gynécologie Obstétrique Fertilité & Sénologie, 46, 845-857.
https://doi.org/10.1016/j.gofs.2018.10.003
[13]  Attia, A.M., Radwan, M.E.H., Elwan, Y.A. and Saleh, H.S.A. (2021) Uterine Artery Doppler Indices: Pulsatility Index and Resistance Index as Predictive Tools for the Incidence of Heavy Menstrual Bleeding Related to Copper Intrauterine Contraceptive Device. Obstetrics & Gynecology Science, 64, 309-316.
https://doi.org/10.5468/ogs.20349
[14]  Pellizari, P., Esposito, C., Siliotti, F., Marchiori, S. and Gangemi, M. (2002) Colour Doppler Analysis of Ovarian and Uterine Arteries in Women with Hypoestrogenic Amenorrhoea. Human Reproduction, 17, 3208-3212.
https://doi.org/10.1093/humrep/17.12.3208
[15]  Juhan, V., Siles, P., Barthelemy, M. and Bartoli, J.M. (2013) Hormones and Imaging: What Impact Doesit Have on the Uterus and Ovaries? Imaging Women, 23, 107-115.
https://doi.org/10.1016/j.femme.2013.02.009
[16]  Motoc, A., Bolintineanu, S., Niculescu, M.C., Motoc, M. and Munteanu, M. (2005) Vascular Microscopic and Mophometric Aspects of the Myometrium. EM Consult, 89, 181.
https://doi.org/10.1016/S1286-0115(05)83278-3
[17]  Smart, A.E., Obajimi, G.O., Zdekanmi, A.J. and Obajimi, M.O. (2022) A Comparative Study of Uterine Artery Doppler Parameters and Endometrial Characteristics in Women with Unexplained Infertility and Fertile Women at a Nigerian Teaching Hospital. West Africa Journal of Medicine, 39, 451-458.
https://doi.org/10.55891/wajm.v39i5.104
[18]  Mutlu, I., Demir, A. and Mutlu, M.F. (2014) Can Uterine Artery Doppler Parameters Predict Copper Intrauterine Device-Induced Side Effects? The European Journal of Contraception & Reproductive Health Care, 19, 51-56.
https://doi.org/10.3109/13625187.2013.856405
[19]  Bastianelli, C., Farris, M., Rapiti, S., Vecchio, R.B. and Benagiano, G. (2014) Different Bleeding Patterns with the Use of Levonorgestrel Intrauterine System: Are They Associated with Changes in Uterine Artery Blood Flow? BioMed Research International, 2014, Article ID: 815127.
https://doi.org/10.1155/2014/815127
[20]  Rezk, M., El Shamy, E., Shaheen, A.E., Shawky, M. and Marawan, H. (2023) Effects of a Levonorgestrel Intrauterine System versus a Copper Intrauterine Device on Menstrual Changes and Uterine Artery Doppler. International Journal of Gynecology & Obstetrics, 145, 18-22.
https://doi.org/10.1002/ijgo.12778
[21]  Agrawal, M., Mehta, S., Sharma, N. and Shivangi, J. (2022) Uterine Artery Doppler Indices May Predict Intrauterine Contraceptive Device-Related Abnormal Uterine Bleeding. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 11, 2092-2095.
https://doi.org/10.18203/2320-1770.ijrcog20221811
[22]  Rezk, M., Elkelani, O., Gaber, W. and Shawky, M. (2018) Pre-Insertion Uterine Artery Doppler Indices May Predict Intrauterine Contraceptive Device-Related Heavy Menstrual Bleeding. Middle East Fertility Society Journal, 23, 496-500.
https://doi.org/10.1016/j.mefs.2018.01.010
[23]  Ibrahim, M.A., Mohammed, N.H. and Abdel Halim, H.W. (2021) Can Pre-Insertion Uterine Artery Doppler Indices Predict Intrauterine Contraceptive Device-Related Heavy Menstrual Bleeding? Journal of Recent Advances in Medicine, 2, 184-193.
https://doi.org/10.21608/jram.2021.54112.1105
[24]  Branger, B., Priou, E. and David, P. (2021) Copper-Containing Intrauterine Device (cIUD): Comparison of Tolerance and Efficacy in Nulliparous and Parous Women over 6 Months. Gynécologie Obstétrique Fertilité & Sénologie, 49, 897-906.
https://doi.org/10.1016/j.gofs.2021.06.004
[25]  Castilla, K., Zambrano, K., Barba, D., Robayo, P., Sanon, S., Caiceda, A., Chiriboga, A. And Jijon, J. (2022) Long-Acting Reversible Contraceptives Effects in Abnormal Uterine Bleeding, a Review of the Physiology and Management. European Journal of Obstetrics & Gynecology and Reproductive Biology, 270, 231-238.
https://doi.org/10.1016/j.ejogrb.2022.01.020
[26]  Kaislasuo, J., Oskari, H., Lahteenmaki, P. and Suhonen, S. (2015) Menstrual Characteristics and Ultrasonographic Uterine Cavity Measurements Predict Bleeding and Pain in Nulligravid Women Using Intrauterine Contraception. Human Reproduction, 30, 1580-1588.
https://doi.org/10.1093/humrep/dev102
[27]  Benslima, N., El Khamlichi, A., Jiddane, M., El Hassani, M.R. and Dafiri, R. (2017) Pseudo-Aneurysm of Uterine Artery: An Atypical Cause of Metrorrhagia de métrorragies. EM Consult, 27, 49-53.
https://doi.org/10.1016/j.femme.2016.10.002

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