Ultrasound-guided hysteroscopy to remove a levonorgestrel intrauterine system in early pregnancy

McCarthy, Elizabeth; Jagasia, Nisha; Maher, Peter; Robinson, Miranda

doi:10.1016/j.contraception.2012.03.004

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…Along with these two articles, some other similar articles have confirmed the effectiveness and safety of hysteroscopy in removing the intrauterine devices during pregnancy. Besides, McCarthy et al[ 9 ] reported a case that a levonorgestrel intrauterine system was successfully removed by ultrasound-guided hysteroscopy during early pregnancy. Moreover, despite exposure to the levonorgestrel intrauterine system during first-trimester, the female baby was normal[ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Besides, McCarthy et al[ 9 ] reported a case that a levonorgestrel intrauterine system was successfully removed by ultrasound-guided hysteroscopy during early pregnancy. Moreover, despite exposure to the levonorgestrel intrauterine system during first-trimester, the female baby was normal[ 9 ]. AL-Mizyen et al[ 10 ] reported a live birth after bilateral ovarian diathermy and hysteroscopy performed during early pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature

Zhao

Feng

2018

WJCC

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Generally, hysteroscopy is not appropriate for pregnant women without an indication. What if a patient undergoes hysteroscopy accidentally during the early gestational period? We here report a rare case of a woman who continued pregnancy after a diagnostic hysteroscopy was performed in early pregnancy and delivered a healthy baby. The patient had a history of infertility and oligomenorrhea, probably due to a previous induced abortion. A hysteroscopy was performed after the end of her “menstruation” for assessment of her uterine cavity. Early pregnancy, instead of the expected intrauterine adhesions, was suspected, and the procedure was immediately ceased. Subsequent tests confirmed the diagnosis of pregnancy. She had a full-term delivery by elective caesarean section. The success of this case was attributed to the use of vaginoscopic techniques in hysteroscopy and correct judgment and decision-making during the procedure. This case report provides some useful methods and experience that might be helpful when a similar situation occurs in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature

Zhao

Feng

2018

WJCC

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“…Only a single case was reported thus far that used ultrasound-guided hysteroscopy to extract a levonorgestrel IUD with missing tail in a woman at 8 weeks' gestation. 5 As far as we know, our case is the second and one of the most advanced gestations in the literature of an IUD in situ that was treated with hysteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Hysteroscopic Removal of IUD with Missing Tails in a 15-Weeks' Pregnant Woman

Albayrak

Karataş

Bıyık³

et al. 2015

CRSLS

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Unexpected pregnancy with an intrauterine device (IUD) in situ is not an uncommon finding in daily practice. It is generally agreed that an IUD should be removed in the first trimester when its tail is visible vaginally. However, because of limited experience and data in the literature, uncertainty exists about the management and technique of IUD removal during pregnancy when the tails are inaccessible on examination, especially in the second trimester. The IUD may be left in situ or removed using a grasping tool under ultrasonographic guidance or by hysteroscopy. Here, we report a case of ultrasound-guided hysteroscopic removal of an IUD with retracted tail in a woman at 15 weeks' gestation. We believe when the decision is made to remove an IUD, ultrasound-guided hysteroscopy may be a safer option in experienced hands compared with an ultrasound-guided grasping tool, especially during the second trimester.

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“…Regarding methods to retrieve IUDs in pregnancy where the strings are not clinically accessible, ultrasound and hysteroscopic methods have been used to guide IUD retrieval when strings were non visible, with good success rates. Both methods have been associated with 35 to 45% perinatal loss rates due to miscarriage, extremely preterm birth or infection, but these compare favorably with 50% perinatal loss in series where pregnancy continued with a retained IUD [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Hysteroscopic removal of intrauterine device in early pregnancy

et al. 2022

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Background Intrauterine devices (IUDs) are commonly used as contraceptives worldwide. However, pregnancies in patients carrying this kind of device may occur. IUD removal when the woman wishes to continue their pregnancy may be very challenging. Only 9 manuscripts in literature reported such similar procedure. Case presentation We report the case of an hysteroscopic removal of IUD in a young woman at 6 weeks of gestation. Discussion The case reported highlights safety and efficacy of operative hysteroscopy as a method of IUD removal in early pregnancy, although other different methods have been reported in literature. In our opinion, maintaining a low infusion pressure during the procedure may help avoiding potential gestational sac damage and IUD displacement for better grasping.

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Ultrasound-guided hysteroscopy to remove a levonorgestrel intrauterine system in early pregnancy

Cited by 10 publications

References 12 publications

Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature

Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature

Ultrasound-Guided Hysteroscopic Removal of IUD with Missing Tails in a 15-Weeks' Pregnant Woman

Hysteroscopic removal of intrauterine device in early pregnancy

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