[Characteristics of the clinical course of acute adnexitis in patients using intrauterine contraceptive devices].

Clinical presentations of acute inflammatory adnexae diseases (AIAD) have been delineated in 127 patients who were users of intrauterine contraceptives (IUC). It was found that these diseases occurred with severe clinical symptoms in IUC users and were associated with prominent morphologic lesions: pyosalpinx and suppurative ovarian inflammation in every 2nd case, suppurative endomyometritis in every 3rd and parametritis in every 10th case. To prevent AIAD, the use of IUC should rigorously follow indications and contraindications. The use of IUC ought not be protracted beyond 3 years.