BMC Women's Health (Oct 2022)

Hysteroscopic removal of intrauterine device in early pregnancy

  • Guglielmo Stabile,
  • Caterina Godina,
  • Francesco Cracco,
  • Francesco Paolo Mangino,
  • Melania Canton,
  • Federico Romano,
  • Giuseppe Ricci

DOI
https://doi.org/10.1186/s12905-022-02012-5
Journal volume & issue
Vol. 22, no. 1
pp. 1 – 5

Abstract

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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.

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