23 November 2025 : Database Analysis
Spontaneous Fracture of Copper Intrauterine Devices: A Decade-Long Retrospective Analysis From a Single Tertiary Center
Altuğ Semiz
ABCDE 1*, Koray Özbay ABCDEF 1
DOI: 10.12659/MSM.950460
Med Sci Monit 2025; 31:e950460
Table 4 Comparison of fracture rates and characteristics in selected studies on IUD fracture.
| Study/year | Study type | IUD type(s) | Fracture rate | Notes/limitations |
|---|---|---|---|---|
| Current study/2025 | Retrospective cohort | Copper with gold core (Type 1) vs standard copper (Type 2) | 6.56% (Type 1); 0% (Type 2) | First prevalence study using long-term follow-up |
| RUDIUS study/2022 []28 | Retrospective | Not fully specified | 32.5% (fractured among selected cases) | No total IUD denominator reported |
| Latack et al/2023 []15 | FDA data analysis | Copper vs hormonal | 9.6% (Cu); 1.7% (Hormonal) | Passive reporting system, not prevalence-based |
| Sinha et al/2004 []25 | Case report | Copper (unspecified) | N/A | T-junction fracture |
| Wilson et al/2013 []14 | Review | Historical Cu & Lippes Loop | N/A | Only isolated case reports and small series |