IUD Issues: Zero in with ultrasound
Guided insertion, removal
IUDs can typically be inserted and removed in straightforward office procedures. At times, however, ultrasound can be uniquely advantageous in assisting both insertion and removal of the devices. If a patient’s uterus is severely anteverted or retroverted, direct sonographic visualization can offer some reassurance to a clinician that the IUD is being appropriately placed within the uterus (Video). Similar difficulties may be encountered when an IUD is removed. At times the string may not be visible if it has retracted into the uterus or the IUD is partially embedded. In those cases, removal under direct ultrasound guidance may offer great benefit, avoiding the need to do the procedure in the operating room20 (Video).
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