[Genital actinomycosis, following insertion of intra-uterine device (IUD) -- possibilities for prevention (author's transl)].

Occurrence of actinomyces infection, following IUD insertion, was observed by the authors in two cases. A pathogenetic role has been positively ascribed to the IUD. In one case, actinomycosis was histologically confirmed on a surgically removed and accompanied by severe tuberculoid tissue reaction. In the second case, actinomyces colonies were recorded and identified from the IUD which had been removed for adnexitis. Good success was obtained by early medication. Prevention and early detection will be possible by vaginal smears prior to insertion of an IUD and with the latter in place, after some time, as well as by testing the IUD proper for actinomycosis, after its removal.