Stress Hormones and IUDs

NCT ID: NCT03499379

Last Updated: 2020-01-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-16

Study Completion Date

2019-12-31

Brief Summary

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Determine what kind of side effects women experience in the first year after they start using an intrauterine device.

Detailed Description

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The purpose of this study is to find out if there is a difference in levels of stress hormones in women who use copper or hormonal intrauterine devices (IUDs). This study will provide more information on the potential effect of levonorgestrel intrauterine system (LNG-IUS) use on an individual's stress response. Ultimately, this study hopes to provide data to better counsel women on potential mood effects of the LNG-IUS. From a research and clinical management perspective, hair cortisol may provide a tool to evaluate women at risk for discontinuation of hormonal contraception due to concern of mood symptoms.

Conditions

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Contraception Mood Change

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Women initiating use of an intrauterine device

Women obtaining a copper or hormonal intrauterine device for the purpose of contraception.

A hair sample of approximately 10 (up to 20) hairs cut close to the scalp of the posterior vertex will be taken at the time of IUD insertion, 6 months post-insertion, and 12 months post-insertion.

Mirena

Intervention Type DEVICE

A radio-opaque T-shaped polyethylene device containing 52mg of levonorgestrel dispersed in polydimethylsiloxane on its stem. The progestin is released at a rate of 15 mcg per day.

Paraguard

Intervention Type DEVICE

A T-shaped polyethylene device with 380 mm2 of exposed surface area of fine copper wire wound around its arms and stem. Barium sulfate has been added to the polyethylene frame to make the device radio-opaque. A 3-mm plastic ball is located at the base of the IUD, through which the polyethylene monofilament string passes.

Interventions

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Mirena

A radio-opaque T-shaped polyethylene device containing 52mg of levonorgestrel dispersed in polydimethylsiloxane on its stem. The progestin is released at a rate of 15 mcg per day.

Intervention Type DEVICE

Paraguard

A T-shaped polyethylene device with 380 mm2 of exposed surface area of fine copper wire wound around its arms and stem. Barium sulfate has been added to the polyethylene frame to make the device radio-opaque. A 3-mm plastic ball is located at the base of the IUD, through which the polyethylene monofilament string passes.

Intervention Type DEVICE

Other Intervention Names

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levonorgestrel intrauterine system Copper T380A IUD

Eligibility Criteria

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Inclusion Criteria

* Generally healthy
* Age 18-39 years
* Regular menstrual cycles
* Getting an IUD for the purpose of contraception

Exclusion Criteria

* History of mood disorders
* BMI less than 18.5 or greater than 35
* Chronic medical conditions
* Recently pregnant or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Society of Family Planning

OTHER

Sponsor Role collaborator

Oregon Health and Science University

OTHER

Sponsor Role lead

Responsible Party

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Nora Doty, MD

Instructor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nora Doty, MD

Role: PRINCIPAL_INVESTIGATOR

Oregon Health and Science University

Locations

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Oregon Health & Science University

Portland, Oregon, United States

Site Status

Countries

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United States

References

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Doty N, Beckley E, Garg B, Maristany S, Erikson DW, Jensen JT. Changes in hair cortisol concentration in intrauterine device initiators: A prospective cohort study. Contraception. 2023 Dec;128:110142. doi: 10.1016/j.contraception.2023.110142. Epub 2023 Aug 24.

Reference Type DERIVED
PMID: 37633589 (View on PubMed)

Other Identifiers

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OHSU IRB 18244

Identifier Type: -

Identifier Source: org_study_id

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