Author/Authors :
Ahmadi Firoozeh نويسنده , Ghaffari Firouzeh نويسنده Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Teh , Akhbari Farnaz نويسنده Department of Reproductive Imaging at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran , Moukhah Somayeh نويسنده Department of Midwifery, Collage of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Abstract :
Introduction Intrauterine devices (IUDs) have been used as a
commonly convenient, efficient, relatively safe, and inexpensive method
of contraception worldwide. Contraceptive efficacy is related to
intrauterine location of IUD. Insertion of IUD without prior pelvic
evaluation by ultrasound is a predisposing factor for unsuitable
placement and may reduce contraception effectiveness. Case Presentation
We present a patient who referred to Royan institute in Tehran (Iran)
with IUD displacement due to an inappropriate insertion of the device
into her recent cesarean section scar. Conclusions IUD displacement into
the myometrium could be done in clinics, but advanced laparoscopy is
needed for confirmed diagnosis and IUD complication management. Three-
dimensional transvaginal ultrasound (3DTVUS) clearly displays the
correct position of the IUD in the uterine cavity much better than the
two-dimensional transvaginal ultrasound (2DTVUS).