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True Mirena failure: Twin pregnancy with Mirena in situ
Jyoti Kumari1, Sonia Malik, Meenakshi Dua
1Department of Obstetrics and Gynecology, Southend Fertility and IVF Centre, Max Hospital, Gurgaon, India.
Abstract:
Mirena levonorgestrel intrauterine system (LNG-IUS) is a very reliable method of contraception with the failure rate comparable to sterilization. We present a case of failure of the Mirena intrauterine device in situ in a woman with twin gestational sac with positive Beta Human Chorionic Gonadotropin (β HCG) within 2 years of insertion. Although LNG-IUS is one of the most effective methods of contraception, the risks of failure should always be kept in mind and the women be appropriately counseled before its use.
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