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IUD String Perforation Through Anterior Cervix: A Case Report
Wendy V Norman1, Danielle Stothart2
1Department of Family Practice, University of British Columbia, Vancouver BC; Women's Health Research Institute, Contraception Access Research Team, British Columbia Women's Hospital, Vancouver BC.
Background:
Intrauterine devices are increasingly the preferred method of contraception chosen by Canadian women. IUD strings are commonly not visible at follow-up, but rarely are visible yet not located within the endocervical canal. We report a case of IUD strings perforating the ectocervix.
Case:
An asymptomatic, 26-year-old woman presented for removal of her levonorgestrel-releasing intrauterine system, over a year following insertion of the device. Upon examination the IUD strings were found to be emerging from within the cervical tissue, 10 mm above the external os.
Conclusion:
We discuss removal techniques, review the literature, and examine possible reasons for this presentation. These techniques may interest a range of practitioners managing contraceptive care for women.
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