Retained Intra Uterine Contraceptive Device in a thirty year old woman leading to secondary infertility

Abstract

The use of Intra-Uterine contraceptive device (IUCD) had been found to be associated with several complications such as bleeding, perforation or migration into surrounding tissues or the omentum and retention. This is a case of a 30-year-old woman who had insertion of IUCD six years before presentation in the clinic which was believed to have been removed. However, uterine ultrasound showed that the IUCD was retained. She then presented with inability to achieve pregnancy of three years duration despite adequate unprotected sexual intercourse. She had Intra-Uterine contraceptive device inserted six years before presentation which she said a Doctor at a private hospital had removed two years after insertion. Her last confinement was about six years before presentation. However, uterine ultrasound showed a normal-sized uterus containing an Intra-Uterine contraceptive device. The retained IUCD was subsequently removed by dilatation and curettage and the patient became pregnant two months later. With appropriate investigation, in this case, accurate ultrasound, it was possible to locate the IUCD and subsequently removed it to solve the patient’s problem.