Fragmentation of an In-Date Copper Intrauterine Device: An Unusual Complication

We present a rare case involving a 25-year-old woman who had fragmentation of a copper intrauterine contraceptive device (IUD) while still within its recommended lifespan. The patient's symptoms included lower abdominal pain, offensive vaginal discharge, and the passage of copper IUD fragments. The pelvic examination confirmed the presence of the copper IUD strings, and with her consent, the device was removed. Upon inspection, it was discovered that one horizontal arm of the copper IUD had no copper coils, and the second horizontal arm was missing half of its copper coil. The device was sent for microbial culture. The patient's symptoms promptly resolved with conservative management. This case raises awareness about the potential for copper IUD disintegration, even when the device is in-date. Sexual and reproductive health providers should consider this complication when discussing the pros and cons of a copper IUD with intended users.