Removal of the LNG IUD when strings are not visible: a case series

Contraception. 2014 Sep;90(3):288-90. doi: 10.1016/j.contraception.2014.04.007. Epub 2014 Apr 21.

Abstract

Objectives: To report length of intrauterine device (IUD) and strings as well as technique for extraction when IUD removal occurs without visible strings.

Study design: A prospective case series of 29 women who had IUDs removed in-office when strings were not visible at the external cervical os.

Results: One third (n=11) were found to have a total length of IUD and strings <7.5 cm. All IUD removals were successfully performed as outpatient procedures.

Conclusion: Removal of IUDs without visible strings can be successfully done as an in-office procedure.

Implications: In-office removal of IUDs without visible strings is effective, safe and economically sound.

Keywords: IUD removal; Levonorgestrel-releasing intrauterine system; Missing strings; Short strings.

MeSH terms

  • Adult
  • Cervix Uteri
  • Contraceptive Agents, Female*
  • Device Removal / adverse effects
  • Device Removal / instrumentation*
  • Dilatation
  • Feasibility Studies
  • Female
  • Hospitals, University
  • Humans
  • Intrauterine Device Migration / adverse effects*
  • Intrauterine Devices, Medicated*
  • Levonorgestrel*
  • Outpatient Clinics, Hospital
  • Postoperative Complications / prevention & control*
  • Prospective Studies
  • Utah
  • Young Adult

Substances

  • Contraceptive Agents, Female
  • Levonorgestrel