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Related Concept Videos

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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
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The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Related Experiment Video

Updated: Apr 15, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
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[No visible strings during an IUD check-up].

Wendeline C Alderlieste1, Jac J W M Jacobs

  • 1Huisartspraktijk Jacobs/Lappenschaar, Ballum.

Nederlands Tijdschrift Voor Geneeskunde
|April 2, 2015
PubMed
Summary

Intrauterine device (IUD) expulsion is often assumed when strings are not visible and ultrasound shows an empty uterus. However, this case highlights that uterine perforation is a possibility requiring further investigation with imaging like X-ray.

Area of Science:

  • Reproductive Medicine
  • Diagnostic Imaging

Background:

  • Standard practice for missing intrauterine devices (IUDs) involves assuming expulsion if strings are not visible and ultrasound shows an empty uterine cavity.
  • Abdominal pain following IUD insertion warrants further investigation beyond assumed expulsion.

Observation:

  • A 32-year-old patient presented with abdominal pain one month after IUD insertion.
  • IUD strings were not visible, and uterine ultrasound revealed an empty cavity.
  • Symptoms persisted for two years, initially misattributed to psychosocial factors.

Findings:

  • An abdominal X-ray revealed a perforated IUD.
  • Laparoscopic removal of the misplaced IUD was performed.
  • This case challenges the assumption of expulsion in cases of missing IUDs.

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Implications:

  • Uterine perforation should be considered when IUD strings are not visible during check-ups.
  • Abdominal X-ray is a cost-effective and minimally invasive tool for diagnosing IUD perforation.
  • Clinical guidelines may need revision to include imaging for suspected uterine perforation.