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Published on: September 12, 2025
Postmenopausal bleeding due to a Cu-7 intrauterine device retained for thirty years
Corey A Wagner1, Richard J Gimpelson
1St John's Mercy Medical Center, St Louis, Missouri, USA. coreywag@yahoo.com
Background:
A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB).
Case:
A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hysteroscopically assisted retrieval of the IUD resulted in complete resolution of symptoms.
Conclusion:
A retained IUD should be considered in the differential diagnosis for PMB. In addition, the authors recommend pelvic sonography as the first-line diagnostic modality for PMB to aid the diagnosis of retained IUD as well as other pathology.
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