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Case 71 - A 21-Year-Old Woman with an Intra-abdominal IUD
- By Jordan Hylton
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 216-218
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Summary

A 21-year-old gravida 2, para 1011 presents to the outpatient office for missing intrauterine device (IUD) strings following IUD insertion. The patient had an IUD placed at her six-week postpartum visit. She noted increased discomfort with this IUD placement compared with the one she had prior to the pregnancy. She also noted increased bleeding immediately following the procedure. Since placement she has had unprovoked intermittent abdominal discomfort that is sharp in nature and self resolves. She denies changes in her bowel or bladder habits and reports her menstrual cycles are short, one to three days, occurring monthly. Her past medical history is significant for depression and postpartum endometritis. Her past surgical history is significant for right anterior cruciate ligament repair. She is not taking any medications and she has no allegies.