Clinical Scenario with Intrauterine Device: Is long Duration a Challenge?

Dr. Shilpi Shikha, Dr. Namita Agarwal, Dr. Manoj Kumar Tangri

Abstract: There are various methods of Intrauterine device as contraceptives, including both hormonal and non-hormonal intrauterine devices (IUDs). Although rare, cases have been reported where IUDs fracture during removal, with retained copper fragments left in the uterus. These incidents underscore the importance of careful and attentive removal by healthcare providers. A 49-year-old woman, para 2 live 2, presented for removal of Intra-uterine device inserted on 16th May 2020. She had a multiload IUD inserted 5 years earlier and now wished to have it removed. On Examination IUD strings was identified and attempted removal. However, during the process, a portion of the device broke off and remained in the uterine cavity. Visual inspection revealed that both horizontal arms of multiload IUD was missing and presumed retained within the patient. Subsequent transabdominal confirmed that a fragment of the IUD was embedded in the uterine cavity. The patient was scheduled for surgical removal by hysteroscopy. This case highlights the critical importance of thoroughly inspecting an IUD after removal and reinforces the need for providers to be aware of this uncommon but significant complication. Clear communication about the risk of IUD fracture during removal should be a routine part of patient counselling. Ultimately, this case emphasizes the necessity of comprehensive IUD management?from careful insertion to vigilant removal and suggests that further research is needed to develop improved removal techniques.

Keywords: IUD fracture, copper IUD, Hysteroscopic removal, retained cuT, cuT complications

How to Cite?: Dr. Shilpi Shikha, Dr. Namita Agarwal, Dr. Manoj Kumar Tangri, "Clinical Scenario with Intrauterine Device: Is long Duration a Challenge?", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 840-841, https://www.ijsr.net/getabstract.php?paperid=SR25701233841, DOI: https://dx.doi.org/10.21275/SR25701233841