Removal of the LNG IUD when strings are not visible: a case series.
OBJECTIVE
To report length of intrauterine device (IUD) and strings as well as technique for extraction when IUD removal occurs without visible strings.


METHODS
A prospective case series of 29 women who had IUDs removed in-office when strings were not visible at the external cervical os.


RESULTS
One third (n=11) were found to have a total length of IUD and strings <7.5 cm. All IUD removals were successfully performed as outpatient procedures.


CONCLUSIONS
Removal of IUDs without visible strings can be successfully done as an in-office procedure.


CONCLUSIONS
In-office removal of IUDs without visible strings is effective, safe and economically sound.
University of Michigan Department of Obstetrics and Gynecology, Ann Arbor, MI, USA.
Carolyn
C
Swenson
University of Utah Department of Obstetrics and Gynecology, Salt Lake City, UT, USA.
Pamela A
PA
Royer
University of Utah Department of Obstetrics and Gynecology, Salt Lake City, UT, USA.
David K
DK
Turok
Planned Parenthood of Orange and San Bernardino Counties, Orange, CA, USA.
Janet C
JC
Jacobson
University of Utah School of Medicine, Salt Lake City, UT, USA.
Georgina
G
Amaral
University of Utah Department of Obstetrics and Gynecology, Salt Lake City, UT, USA. Electronic address: Jessica.sanders@utah.edu.
Jessica N
JN
Sanders
D000328:Adult; D002584:Cervix Uteri; D003271:Contraceptive Agents, Female; D020878:Device Removal / Q000009:adverse effects / Q000295:instrumentation*; D004106:Dilatation; D005240:Feasibility Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D058736:Intrauterine Device Migration / Q000009:adverse effects*; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel; D010044:Outpatient Clinics, Hospital; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies; D014589:Utah; D055815:Young Adult
D003271:Contraceptive Agents, Female; D016912:Levonorgestrel
IUD removal; Levonorgestrel-releasing intrauterine system; Missing strings; Short strings