Misplaced IUCD

Abstract

The intra uterine device (IUD) is a popular family planning method worldwide. Some of the complications associated with the insertion of an IUD are well described in the literature. The frequency of IUD perforation is estimated to be between 0.05 & 1B per 1000 insertions. There are many reports of migrated intrauterine devices, but for fewer reports of IUDs which have penetrated into the rectum. Among the options available the multi-year cost of the copper T380A. IUD makes it one of the most cost-effective contraceptive options available. According to the World Health Organization Medical Eligibility Criteria, an IUCD can be inserted in the 48 hours postpartum, referred to here as Postpartum IUCD (PPIUCD), or after four weeks following a birth. With increased use of intra-uterine devices (IUDs) for contraception, an increase in the number of related problems are reported. A frequent clinical problem is the loss of filament at the external cervical os, the ‘lost tail’. The disappearance of the string or marker heralds potential problems such as retracted or turn off tail, misplacement within the cavity, intra-mural penetration or extra-uterine location.