Forgotten intrauterine device contributing to infertility.

Area of Science:

• Reproductive Medicine
• Gynecology
• Public Health

Background:

• Intrauterine contraceptive devices (IUCDs) are widely used for birth control.
• Forgotten or retained IUCDs can lead to various complications.
• Infertility is a significant reproductive health concern globally.

Observation:

• The study reports three cases of infertility linked to long-standing forgotten IUCDs at a Nigerian tertiary hospital.
• One IUCD was inserted during management for uterine synechiae, while two were for contraception.
• These cases highlight a potential under-recognized cause of infertility.

Findings:

• Forgotten IUCDs can contribute to uterine pathologies and subsequent infertility.
• Delayed diagnosis of retained IUCDs complicates management and impacts fertility outcomes.
• Effective patient follow-up and diagnostic procedures are essential.

Implications:

• Healthcare providers must maintain meticulous documentation and counseling for IUCD insertions.
• Speculum examination and ultrasound are vital for diagnosing retained IUCDs in infertile patients.
• Improved clinical practices can prevent IUCD-related infertility and enhance reproductive health outcomes.