Abstract
A 29-year-old lady had a transvaginal scan that showed a septum in the uterus. There were no fibroids and the endometrial echo in each cornu was linear. The septum extended from the level of the cervical isthmus to the uterine fundus. She did not plan a pregnancy for a few years but wished to conserve her fertility. After counselling she opted to try the LNG-IUS. In view of the two uterine cavities, two IUSs were inserted, one in each cavity. The insertion was ultrasound guided and confirmed. The procedure was done under a cervical anaesthetic block.
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