4.4 Article

Hysteroscopic removal of intrauterine device in early pregnancy

Journal

BMC WOMENS HEALTH
Volume 22, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12905-022-02012-5

Keywords

IUD; Intrauterine device; Hysteroscopy; Embryoscopy; Ultrasound; Pregnancy; Contraception

Funding

  1. Institute for Maternal and Child Health IRCCS Burlo Garofolo [RC 08/2020]

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This article reports a case of hysteroscopic removal of IUD in early pregnancy, highlighting the safety and efficacy of this method. It also suggests that maintaining low infusion pressure during the procedure can help avoid potential damage and displacement.
Background Intrauterine devices (IUDs) are commonly used as contraceptives worldwide. However, pregnancies in patients carrying this kind of device may occur. IUD removal when the woman wishes to continue their pregnancy may be very challenging. Only 9 manuscripts in literature reported such similar procedure. Case presentation We report the case of an hysteroscopic removal of IUD in a young woman at 6 weeks of gestation. Discussion The case reported highlights safety and efficacy of operative hysteroscopy as a method of IUD removal in early pregnancy, although other different methods have been reported in literature. In our opinion, maintaining a low infusion pressure during the procedure may help avoiding potential gestational sac damage and IUD displacement for better grasping.

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