Sir-We have read with interest the paper of Lassise et al. recently published by the IJE on the relation between use of intrauterine devices (IUD) and risk of invasive cervical cancer.' That study, conducted in five metropolitan areas in the US on 481 cases and 801 general population controls, showed a nonsignificant reduced risk of invasive cervical cancer associated with copper IUD use (relative risk [RR] 0.6, 95% confidence interval [CI] : 0.3-1.2), but not with inert IUD use (RR 1.1, 95% CI : 0.9-1.7). To offer further data on this issue we would like to add the following.
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