Evidence map›Paper›PMID 40329407›Full record

ArticleContraception and reproductive medicine2025

The use of a menstrual cup as a risk factor for displacement of intrauterine devices: a case-control study.

Juliette Claire, Sarah Mir, Inès Dumortier, Roxane Liard, Amélie Yavchitz, Chloé Le Cossec, Hervé Picard

Registry-linked trialAbstract read
In one paragraph

Article in Contraception and reproductive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04782583 (Shifting of Intrauterine Device and Use of the Menstrual Cup), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04782583 completednot on this map

Shifting of Intrauterine Device and Use of the Menstrual Cup: Case-control Study

TypeobservationalSponsorFondation Ophtalmologique Adolphe de RothschildRan2020 to 2021Enrolled740ConditionsMenstrual Cup, Intrauterine Device MigrationArmsQuestionnaire
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Yonder: Menstrual cups and IUD displacement, deprived area GP retention, endometriosis diagnosis, and patient assertiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Juliette Claire *ipso santé primary care, Paris, France.
Sarah Mir *Clinical research department, Adolphe de Rothschild Foundation Hospital, Paris, France.
Inès Dumortier *ipso santé primary care, Paris, France.
Roxane Liard *ipso santé primary care, Paris, France. roxane.liard@ipsosante.fr.
Amélie Yavchitz *Clinical research department, Adolphe de Rothschild Foundation Hospital, Paris, France.
Chloé Le Cossec *Clinical research department, Adolphe de Rothschild Foundation Hospital, Paris, France.
Hervé Picard *ipso santé primary care, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenstrual cups (MC) are being increasingly used for menstruation management as an alternative to tampons and sanitary pads. Intrauterine devices (IUD) are commonly and increasingly used for birth control. Displacement of an IUD from the uterine fundus can reduce its efficiency, potentially leading to unwanted pregnancies. Recently, concerns have been raised regarding a possible increase in the risk of IUD displacement, associated to the use of MC. This study measures the association between MC use and IUD displacement, taking into account the already known risk factors of IUD displacement. METHODS AND

findingsWomen consulting for follow-up of an IUD in two primary care facilities in Paris were enrolled in the study between March 2020 and May 2021. IUD position was assessed by transvaginal ultrasound. Use of MC and exposition to known risk factors for IUD displacement were assessed by a standardized investigator-administered questionnaire. Frequency of MC use was compared between patients with well-positioned IUD and patients with displaced IUD. A linear regression model looked for an independent association between MC use and IUD displacement, with respect to known risk factors for IUD displacement. 747 patients were included, out of which 6.8% had a displaced IUD. MC use was reported by 17.0% of patients with a well-positioned IUD versus. 41.2% of patients with a displaced IUD. After adjustment for known risk factors of IUD displacement, MC use appeared to be significantly and independently associated with IUD displacement (aOR [95CI]: 3.09 [1.56-6.05]).

conclusionsThe use of a menstrual cup seems to be an independent risk factor for intrauterine device displacement. CLINICAL

trial registrationNCT04782583.

Indexed as

Case-control studyGeneral practiceIntrauterine deviceMenstrual cupTransvaginal ultrasound

Identifiers

PMID40329407
PMCPMC12053853

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.