What should be done if the intrauterine contraceptive device (IUCD) cannot be removed either because the strings are not visible or traction on the strings causes excessive discomfort?
If the woman wishes to conceive, she will need to have the device removed. This will usually require hysteroscopy and removal under direct vision either with a local or general anaesthetic. If she has no wish to conceive, and the device is inside the uterus, it can be left in place. If an IUCD has perforated the uterine wall, it must be removed surgically as it can cause injury to other intraperitoneal organs (bowel or bladder).
Related Questions
- How should the intrauterine contraceptive device (IUCD) be removed in the unlikely event that the patient becomes pregnant with the IUCD in situ?
- When should a perforated intrauterine contraceptive device (IUCD) be removed if the situation is discovered when a woman is pregnant?
- What should be done if the intrauterine contraceptive device ( IUCD) strings are not seen at the follow-up examination?
