Abstract:

Women require effective contraception until they reach menopause. The intrauterine device (IUD) is an effective and long-acting method that decreases the incidence of unwanted pregnancy.  We aimed to present a case of atypical located IUD in a woman experiencing three years of menopause. A 53 years old woman attended the gynecological out-patient clinic with expectation of IUD removal. The IUD was inserted into the uterine cavity 13 years ago and at the beginning of menopause, there was an unsuccessful IUD removal experiment. In every gynecological examination: cervix was atrophic, external os was stenotic while the string of IUD was not seen. During transvaginal ultrasonography, IUD echogenity was seen in endometrial line. In hysteroscopic uterine cavity observation, there was no IUD. We concluded that the IUD had penetrated into the myometrium. No futher evaluation was done and the patient was informed about the condition of IUD. Myometrial penetration must be kept in mind especially for removal of IUDs in menopausal patients. Conservative management is one of the choices for this condition. Hysterectomy can also be performed on non-obese patients.

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