Unusual shaped IUS

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Unusual shaped IUS.

I read with interest Anne MacGregor’s letter in the January 2013 issue of the Journal describing the removal of an unusually shaped intrauterine system (IUS) and asking if others have had similar experiences. A couple of years ago I too was alarmed as I removed an IUS through a slightly tight cervical os and noted an odd shape. On closer inspection the device was removed intact, but as in Dr Ma...

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An unusual shaped IUS.

A 45-year-old nulliparous woman attended for removal and replacement of a levonorgestrel-releasing intrauterine system (IUS) for continued management of dysmenorrhoea. I had placed the IUS some 6 years previously under a cervical block, needing to dilate the tight cervical canal for insertion. The patient’s periods had been well controlled. The IUS was easily removed but, as pictured, the arms ...

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Comment on 'Unusual shaped IUS'.

shaped IUS’ Reading Dr Lloyd’s letter in the July 2013 issue of the Journal has prompted me to write in on this topic. Removal of an intrauterine device (IUD) involves traction on the threads causing the horizontal arms of the device to come together in the narrower lower half of the uterus during its downward movement. It is relatively easy for the collar of hormone in an intrauterine system (...

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Response regarding an unusual shaped IUS.

I read with interest Dr MacGregor’s letter regarding the unusual shape of a Mirena intrauterine system (IUS) following removal. From the photograph it would appear that the capsule has become displaced and the arms of the device enclosed within it. We have seen a case of complete detachment of the capsule from the frame, with unrecognised retention of the capsule within the uterine cavity. This...

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IUS as emergency contraception.

I was interested to read the commentary by Anne Szarewksi describing how to individually tailor a woman’s combined oral contraceptive (COC) regimen to minimise the amount of breakthrough bleeding she has to experience each year.1 However, in view of the article on repeat abortion (Das et al.) in the same issue of the journal, should we not be more concerned in preventing pregnancy in COC users?...

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ژورنال

عنوان ژورنال: Journal of Family Planning and Reproductive Health Care

سال: 2013

ISSN: 1471-1893,2045-2098

DOI: 10.1136/jfprhc-2013-100641