Moshesh, MalanaSaldana, TinaDeans, ElizabethCooper, TracyBaird, Donna2024-06-032024-06-032018-070010-78241879-0518https://hdl.handle.net/10161/30769<h4>Objective</h4>The object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound.<h4>Study design</h4>This is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study. Low-lying IUDs were identified and localized. Logistic regression was used to identify factors and symptoms associated with low-lying IUDs.<h4>Results</h4>Among 168 women with IUDs at ultrasound, 28 (17%) had a low-lying IUD. Having a low-lying IUD was associated with low education level (≤high school: aOR 3.1 95% CI 1.14-8.55) and with increased BMI (p=.002). Women with a low-lying IUD were more likely to report a "big problem" with dysmenorrhea (the highest option of the Likert scale) as compared to women with a normally-positioned IUD (OR 3.2 95% CI 1.07-9.54).<h4>Conclusion</h4>Our study found that women with a low-lying IUD are more likely to be of lower education and higher BMI, and to report more dysmenorrhea.<h4>Implications</h4>Women who are obese may benefit from additional counseling and closer follow-up after IUD placement. Future research is warranted to investigate IUD placement and possible IUD migration among women who are obese.HumansDysmenorrheaUltrasonographyCohort StudiesCross-Sectional StudiesIntrauterine DevicesAdultFemaleYoung AdultBlack or African AmericanJournal article