Abstract

A few years after the initial insertion a woman’s IUD cord was not visualized during subsequent examinations and annual scans. Seven years later transvaginal sonography (TVS) suggested that the IUD’s copper wire was fragmented and three-dimensional ultrasound imaging confirmed this. Concerned about the IUD’s efficacy doctors decided to remove it because the cord was not visible and there were concerns about the possibility of perforation and fragmentation during removal.

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