Review: non-steroidal anti-inflammatory drugs reduce menstrual pain and heavy bleeding associated with an intrauterine device
Q In women using an intrauterine contraceptive device (IUD), are non-steroidal anti-inflammatory drugs (NSAIDs) effective for treatment or prevention of heavy menstrual bleeding or pain associated with IUD use?
METHODS
Data sources:
PubMed, CENTRAL, POPLINE, LILACS, EMBASE/Excerpta Medica, CINAHL, and authors of published trials.
Study selection and assessment:
randomised controlled trials (RCTs) that compared an NSAID with placebo, another NSAID, or another treatment for heavy menstrual bleeding or pain associated with IUD use in reproductive age women of any gravidity and parity. 15 RCTs (8 treatment, n = 370, and 7 prevention, n = 2359) met the selection criteria. Quality assessment of individual trials included randomisation method, allocation concealment, blinding, withdrawals, and follow up.
Outcomes:
blood loss (quantitative or semi-quantitative assessment), pain (Likert …
