Intrauterine Device (IUD) Self Removal

Not Applicable

Terminated

• Conditions: IUD Removal
• Interventions: Other: IUD self-removal education

• Registration Number: NCT05191238
• Lead Sponsor: Boston Medical Center

Brief Summary

This pilot research study will teach patients how to self-remove intrauterine contraceptive device (IUD) through an educational video and simulation and evaluate patient perspectives and experiences related to IUD self-removal with two surveys. Patients will be recruited for this study at the time of presentation to the office for IUD removal. After consenting to the procedure, participants will complete a pre-intervention survey, watch a video explaining how to self-remove the IUD, and use two models to simulate IUD removal. After completion of using the models to practice IUD removal, participants will complete a second short survey. The participant will then be given the option of attempting self-removal and be given time to attempt the removal. If the participant elects to have the provider remove their IUD, the provider will do so. At the end of the encounter, participants will fill out a final survey. Research staff will measure the length of the strings of all IUDs prior to routine disposal of the device.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-12-29
• Study First Submitted QC: 2021-12-29
• Study First Posted: 2022-01-13
• Study Start: 2022-02-22
• Primary Completion: 2022-12-12
• Study Completion: 2022-12-12
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-18
• Last Update Posted: 2023-12-22

Recruitment & Eligibility

• Status: TERMINATED
• Sex: Female
• Target Recruitment: 37

Inclusion Criteria

• English or Spanish speaking
• Present to Boston Medical Center Yawkey for removal of IUD and have been consented for removal
• Are eligible for removal of IUD in the office setting

Exclusion Criteria

• Current incarceration

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Participants consented for IUD removal	IUD self-removal education	Participants will be shown an educational video about IUD self-removal and simulation models. After the video, participants will be given the choice to either attempt IUD self-removal or to have their provider perform standard removal. If a participant elects to attempt self-removal and fails, their provider will offer standard removal.

Primary Outcome Measures

Name	Time	Method
Change in proportion of participants who are willing to attempt IUD self-removal	baseline, 15-30 minutes	Participants will be asked before and after reviewing the educational video and practicing self-removal through simulation, if they are willing to attempt IUD self-removal. The change in the proportion willing to attempt IUD self-removal will be calculated.
Proportion of participants who attempt IUD self-removal	15-30 minutes	Attempt Yes/No

Secondary Outcome Measures

Name	Time	Method
Success of IUD self removal	1 day	Success Yes/No

Trial Locations

Locations (1)

Boston Medical Center; 🇺🇸 Boston, Massachusetts, United States