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Case 42 - A 50-Year-Old Woman with a Retained IUD

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old female, gravida 3, para 3, presents to the office requesting removal of an intrauterine device (IUD). She had a levonorgestrel IUD placed six years ago for contraceptive purposes and now that she is menopausal wishes removal. Last menstrual period was two years ago, and she has experienced vasomotor symptoms and vaginal dryness. She was never able to palpate the IUD strings nor were they visible on pelvic examinations. She is currently sexually active with a long-standing monogamous partner and has never been exposed to a sexually transmitted disease. She has a family history of breast cancer in first-degree relatives, and no significant past medical or surgical history. She is not taking medications and has no drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 128 - 130
Publisher: Cambridge University Press
Print publication year: 2021

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References

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Verma, U, Astudillo-Davalos, FE, Gerkowicz, SA. Safe and cost-effective ultrasound guided removal of retained intrauterine device: our experience. Contraception 2015; 92: 7780.CrossRefGoogle ScholarPubMed

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