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Nonpalpable intrauterine device threads: Is it a cause for worry?
S K Kathpalia1, M K Singh2, D S Grewal3
1Consultant (Obst and Gynae), Base Hospital, Delhi Cantt 110001, India.
Medical Journal, Armed Forces India
|January 27, 2017
Summary
Many women using intrauterine contraceptive devices (IUDs) cannot feel the threads. Most IUDs are correctly placed, but ultrasonography can confirm IUD location and insertion accuracy.
Area of Science:
- Reproductive Health
- Contraception Technology
- Gynecology
Background:
- Intrauterine contraceptive devices (IUDs) are widely used for effective contraception.
- IUDs can be inserted post-abortion, post-delivery, or as an interval procedure.
- Threads attached to IUDs aid in location, but palpation is sometimes unsuccessful.
Purpose of the Study:
- Investigate reasons for the inability to palpate IUD threads.
- Assess IUD placement when threads are not palpable.
- Evaluate diagnostic methods for confirming IUD location.
Main Methods:
- Retrospective study over eight years.
- Included 110 female patients unable to feel IUD threads.
- Clinical examination including uterine sounding.
Main Results:
- In most cases, the IUD was correctly positioned.
- Four devices were not palpable via uterine sounding, suggesting subendometrial placement.
- No instances of uterine perforation by the IUD were recorded.
Conclusions:
- Inability to feel IUD threads is a common patient complaint.
- Clinical examination often confirms correct IUD placement despite impalpable threads.
- Ultrasonography is a valuable tool for confirming IUD location and proper insertion, reassuring patients and providers.
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