Intrauterine Device (IUD) Removal

Chapter 27 Intrauterine Device (IUD) Removal



Common indications


Intrauterine devices (IUDs) are removed when they expire or if the patient develops unwanted side effects or complications. In most patients, the strings will still be visible and can be removed easily. Occasionally, the IUD strings are retracted up into the uterus and can no longer be used to remove the IUD. A more complex procedure is required.



Equipment


A ring forceps is used for a simple removal of the IUD with visible strings. The equipment needed for removing an IUD without visible strings includes a Cytobrush, local anesthetic, a 10-cc syringe, an 18- and 27-gauge needle with a needle extender, a uterine sound, a tenaculum, and an IUD hook (Figure 27-1).


image

FIGURE 27-1 Equipment.



Key steps



1. Removal of IUD with visible strings: To remove an IUD with visible strings, first visualize the cervix with a speculum examination. Use a ring forceps to grasp the IUD strings, lock the forceps, then pull gently to remove the IUD from the uterus (Figure 27-2).

2. Removal of IUD without visible strings:
• First, perform a pelvic exam to ensure that the uterine position is known. Insert a vaginal speculum and visualize the cervix. Sweep the endocervical canal to see whether the strings can be retrieved. If not, cleanse the cervix with an antiseptic solution.

Related posts:

  1. Excisional Biopsy
  2. Vacuum-Assisted Delivery
  3. Cervical Polypectomy
  4. Vulvar Biopsy

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Dec 12, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Intrauterine Device (IUD) Removal

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