Cochrane · systematic review · CD013744

Progestin intrauterine devices versus copper intrauterine devices for emergency contraception

Ramanadhan, S, Goldstuck, N, Henderson, JT, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Fertility RegulationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 2 · 28.6%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Levonorgestrel IUDs vs. Copper IUDs for individuals seeking emergency contraception after unprotected intercourse

Population: individuals seeking emergency contraception after unprotected intercourse
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pregnancy rates at one month
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
no estimate extracted1 study · 638 participantsVery low
Downgraded: risk of bias, imprecision
Failed insertion
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
RR 1.05 [0.58, 1.9]1 study · 711 participantsVery low
Downgraded: risk of bias, imprecision
Rates of expulsion
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
RR 0.67 [0.11, 4]1 study · 655 participantsVery low
Downgraded: risk of bias, imprecision
Rates of removal
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
RR 1.25 [0.5, 3.14]1 study · 655 participantsVery low
Downgraded: risk of bias, imprecision
Number of bleeding days in first month
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
no estimate extracted1 study · 510 participantsLow
Downgraded: risk of bias, imprecision
Cramping score since insertion
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
no estimate extracted1 study · 547 participantsLow
Downgraded: risk of bias, imprecision
Patient satisfaction
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
RR 0.84 [0.57, 1.22]1 study · 615 participantsVery low
Downgraded: risk of bias, imprecision