title: Evaluation of levonorgestrel intrauterine system upon presumed nonintact removal.
abstract: A 51 year old woman presented for removal of her expired levonorgestrel intrauterine device (IUD). The IUD arms appeared absent upon IUD removal. Further examination of the device revealed that the arms were concealed inside the hormonal cylinder. Recognizing abnormal presentations of the levonorgestrel IUD upon removal can avoid unnecessary procedures.
authors.affiliation: University of California, Davis, School of Medicine, Sacramento, CA.
authors.forename: Josh
authors.initials: J
authors.lastname: Bukowski
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Davis, Sacramento, CA.
authors.forename: Anna
authors.initials: A
authors.lastname: Rogers
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Davis, Sacramento, CA. Electronic address: Catherine.Cansino@ucdmc.ucdavis.edu.
authors.forename: Catherine
authors.initials: C
authors.lastname: Cansino
mesh_terms: D003271:Contraceptive Agents, Female; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel; D008875:Middle Aged
chemical_list: D003271:Contraceptive Agents, Female; D016912:Levonorgestrel
keywords: intrauterine device removal; malpresenting intrauterine device