Intrauterine device embedment resulting in its fracture: A case series

Affiliations

Advocate Illinois Masonic Medical Center

Abstract

Purpose: As long-acting reversible contraceptive choices are becoming more popular among young women, proper informed consent over potential complications should be addressed when such decisions are made. A local case series was analyzed to consider the risk of intrauterine device (IUD) fracture.

Materials and Methods: A retrospective review of provider experience with the intrauterine device over a seven-year period was undertaken, to specifically analyze the incidence of IUD embedment and fracture in the studied population. The type of IUD, length of time that it was in place, and the age and parity of the individual, were examined.

Results and Conclusion: The apparent incidence of IUD fracture was notable, with a suggestion of IUD type and individual parity as being correlated to fracture. A 1.25 % incidence rate of IUD fracture for the ParaGard was found, in contrast to what was seen for the Mirena IUD (0.03%), in our studied population.

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Article

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