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Case Reports
. 2022 Oct 27;22(1):425.
doi: 10.1186/s12905-022-02012-5.

Hysteroscopic removal of intrauterine device in early pregnancy

Guglielmo Stabile  1 , Caterina Godina  2 , Francesco Cracco  2 , Francesco Paolo Mangino  3 , Melania Canton  2 , Federico Romano  3 , Giuseppe Ricci  3   2
Affiliations
Case Reports

Hysteroscopic removal of intrauterine device in early pregnancy

Guglielmo Stabile et al. BMC Womens Health. .

Abstract

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.

Keywords: Contraception; Embryoscopy; Hysteroscopy; IUD; Intrauterine device; Pregnancy; Ultrasound.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The first Author (G.S.) is an Editorial board member of BMC Women’s Health Journal.

Figures

Fig. 1
Fig. 1
Bettocchi hysteroscope, 5 mm (Karl Storz). Working channel allows the use of semi-rigid 5 Fr. operating instruments
Fig. 2
Fig. 2
Semi-rigid and Reusable 5 Fr. Operating Instrument: Biopsy Forceps. (Karl Storz)
Fig. 3
Fig. 3
Transvaginal ultrasound scan after the procedure
Fig. 4
Fig. 4
Transvaginal ultrasound scan after the procedure
See this image and copyright information in PMC

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References

    1. Luukkainen T, Toivonen J. Levonorgestrel-releasing IUD as a method of contraception with therapeutic properties. Contraception. 1995;52:269–276. doi: 10.1016/0010-7824(95)00210-2. - DOI - PubMed
    1. Sorrentino F, De Feo V, Stabile G, Tinelli R, D’Alterio MN, Ricci G, et al. Cesarean scar pregnancy treated by artery embolization combined with diode laser: A novel approach for a rare disease. Med. 2021;57. - PMC - PubMed
    1. Stabile G, Romano F, Buonomo F, Zinicola G, Ricci G. Conservative Treatment of Interstitial Ectopic Pregnancy with the Combination of Mifepristone and Methotrexate: Our Experience and Review of the Literature. Biomed Res Int. 2020;2020:8703496. 10.1155/2020/8703496. - PMC - PubMed
    1. Cohen SB, Bouaziz J, Bar-On A, Schiff E, Goldenberg M, Mashiach R. In-office Hysteroscopic Extraction of Intrauterine Devices in Pregnant Patients Who Underwent Prior Ultrasound-guided Extraction Failure. J Minim Invasive Gynecol. 2017;24:833–6. doi: 10.1016/j.jmig.2017.03.021. - DOI - PubMed
    1. McCarthy EA, Jagasia N, Maher P, Robinson M. Ultrasound-guided hysteroscopy to remove a levonorgestrel intrauterine system in early pregnancy. Contraception. 2012;86:587–90. doi: 10.1016/j.contraception.2012.03.004. - DOI - PubMed

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