Mirena(R) removal from a nulliparous woman

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Mirena® removal from a nulliparous woman.

I recently removed a Mirena® intrauterine system (IUS) from a lady who had a tight nulliparous cervix. I had to pull on the threads fairly fi rmly to get the IUS to come out from the cervix. When the IUS came out I noticed that the levonorgestrel-containing cylinder had become displaced and was near the top of the ‘arms’ of the IUS (Figure 1). I have never dilated a cervix for an IUS/ intrauter...

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ژورنال

عنوان ژورنال: Journal of Family Planning and Reproductive Health Care

سال: 2011

ISSN: 1471-1893,2045-2098

DOI: 10.1136/jfprhc-2011-0115