Effects of a novel three-dimensional grid intrauterine device on the uterus, steroid receptor and PAX2 of rhesus macaques

Intrauterine devices (IUDs) is the most effective methods of the reversible and long-acting contraception. 1) To develop a novel three-dimensional grid intrauterine device (3-DGIUD) with nickel-titanium (Ni-Ti) and silicone rubber. 2) To observe the effect of the 3-DGIUD on contraceptive efficacy and the change of uterus, endometrial sex steroid receptor, PAX2 in rhesus macaques (Macaca mulatta). The materials of the 3-DGIUD were the nitinol wire and the silicone rubber. The frame of the 3-DGIUD was three-dimensional and grid-like. Twenty adult female rhesus macaques were divided into the 3-DGIUD group (placing the 3-DGIUD, n=9), the sham operation group (no placing the 3-DGIUD, n=9) and the control group (n=2). On the 10th-day after surgery, the 3-DGIUD group and the sham operation group macaques were caged together with male macaques (female: male = 1:1). The uterus, 3-DGIUD and pregnancy of 18 female rhesus monkeys were examined by abdominal ultrasound every month. The endometrium pathological examination was carried out and the expression of PAX2 and hormone receptor (ER, PR) was detected by immunohistochemical staining. After 3-DGIUD was placed in case group for 3 and 12 months, only 1 of female macaque was pregnant in 9. The contraceptive effective rate was 88.9% (8/9). The 3-DGIUD in the uterus of macaques was observed by ultrasound. In the sham operation group, 9 macaques were pregnant (9/9). There was significant difference in uterine size of the 3-DGIUD group between pre-placement and after surgery for 3 and 12 months (P<0.05). The endometrial epithelium was intact, just a small number of glands vacuoles and a few neutrophils infiltration around the 3-DGIUD. The expression of endometrial ER, PR and PAX2 in 3-DGIUD group on 12 months after surgery was similar to those in control macaque. The 3-DGIUD has a good contraceptive effect on female macaques, and has no significant affection on the expression of endometrial steroid receptor and PAX2 in rhesus monkeys.