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The forgotten coil
1Fertility Service, Queen Elizabeth Hospital, South London Healthcare National Health Service Trust, London, United Kingdom. dr.samuelmarcus@gmail.com
Objective:
To raise awareness of forgotten intrauterine contraceptive devices (IUDs).
Design:
Case report.
Setting:
District general hospital in London.
Patient(S):
Two women, one with secondary infertility and one with heavy, painful periods, both unaware they had an IUD.
Intervention(S):
Removal of the forgotten IUD.
Main Outcome Measure(S):
Return of fertility and improvement in gynecologic symptoms.
Result(S):
After the removal of the IUD, the first patient who had had secondary infertility conceived within 1 month. In the second patient, the symptoms of menorrhagia and dysmenorrhea improved after removal of the IUD.
Conclusion(S):
Although it is rare, a forgotten IUD is a potential cause of unexplained infertility and a differential diagnosis for gynecologic symptoms.
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