Abstract
Ultrasound is useful to identify the exact location of an intrauterine device (IUD). IUD insertion may cause complications such as complete or partial myometrial perforation, or low placement leading to expulsion. We investigated the routine use of ultrasound to guide IUD insertion with the goal of reducing procedure related complications. Ultrasound guided IUD insertion was performed during five-year period from July 1, 2000 to December 31, 2004. The uterus was scanned longitudinally from the cervix to the fundus; hysterometry was not performed. The IUD was then inserted under ultrasound guidance. The procedure was considered successful when a highly reflective echo with acoustical shadow was symmetrically located in the uterine fundus. Routine ultrasound guided IUD placement was performed in 52 women. There were no identified perforations or low placements. The prevalence of inadequate position during the preceding 5-year period was 8.6%. Routine intraoperative real-time sector may be useful for the safe for IUD implantation for all patients. We believe that the procedure was less hazardous for the patient. We advise that both the gynecologist and sonographer must be experienced.
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