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Clinical trials

Thanks for your interest to participate in our clinical trial(s). Please fill out the questionnaire below.

After completion, we will contact you to confirm whether you are eligible for one of our trials.

General

Name *

Surname *

Date of birth *

Telephone number

Email *

Region of residence *

City

Postal code

Address

Country

Family planning

Number of children and type of delivery (vaginal or cesarean) per child

None

Vaginal

Number of vaginal deliveries *

Cesarean

Number of cesarean deliveries *

Date of birth last child

Specify date of birth last child *

Do you plan on having children or more children?

How many days do you bleed during your period?

How much do you bleed during your period?

Contraceptive use

Other *

Do you currently use a contraceptive method?

Other *

Preferences

Are you interested in a hormonal or non-hormonal contraceptive IUD/IUS?HormonalNon-hormonal

Is your preference for a device lasting 3, 5 or 10 years?3 years5 years10 years

Are you willing to agree to return annually to the clinic for follow-up visit?

Countries where you would want to participate in the clinical trial?

Website ( http:// ) *

Your personal data will be kept confidential in accordance with the privacy statements of the General Data Protection Regulation (GDPR) for EU countries; Data Protection Act 2018 for UK; Food and Drug Administration (FDA) Protection of Human Subjects Regulations (45 CFR part 46 or 21 CFR parts 50 and 56) for USA and their equivalent regulations in other countries.

In his clinic in Ghent, Dr. Wildemeersch organizes training sessions for doctors from inside and outside Belgium, interested in learning the anchoring technique of frameless intrauterine devices.
The clinic is specialized in providing precision intrauterine contraception to fulfill women's needs.