Displaced intra-uterine contraceptive device causing severe menorrhagia

Abstract

The intrauterine contraceptive device (IUCD) is a common method of contraception in developing countries. Expulsion/displacement is a common complication of its use, occurring in 2-8 % of users per 100 women years. Two cases of menorrhagia resulting from displacement of Copper-T-380 IUCD to the cervical canal were presented. The diagnosis was made by simple gentle speculum examination of the vagina and confirmed in one case with ultrasonography. The IUCD was pulled out with an artery or sponge forceps and the bleeding stopped. Awareness of this possible complication and simple speculum examination in any woman wearing an IUCD and presenting with vaginal bleeding or menorrhagia is advocated to avert undue morbidity.

Keywords: IUCD, displacement, expulsion, menorrhagia

Tropical Journal of Obstetrics and Gynaecology Vol. 23(1) 2006: 70-71