Use of intrauterine device in the setting of uterus didelphys.
BACKGROUND
Uterine anomalies are frequently diagnosed in reproductive-aged women and are generally considered a contraindication to the use of intrauterine contraception. We elected to offer this method to a woman with uterus didelphys and a poorly controlled seizure disorder who wished to avoid hormonal and barrier contraceptives.


METHODS
A 17-year-old woman (gravida 1, para 1) with a seizure disorder desired an intrauterine device (IUD). She was found to have uterus didelphys and a complete vaginal septum. After obtaining informed consent, an IUD was placed in each uterine horn. The patient retained both IUDs and was satisfied with the method 9 months after IUD insertion.


CONCLUSIONS
Intrauterine contraception should be considered an option for women with uterine anomalies on a case-by-case basis.
Espey
Eve
E
Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM 87131, USA. eespey@salud.unm.edu
Ogburn
Tony
T
Hall
Rebecca
R
Byrn
Francis
F
D000293:Adolescent; D003267:Contraception / Q000379:methods; D004827:Epilepsy / Q000150:complications*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities*