Clinical case review

What to do about missing IUD threads

Deborah Bateson, Rebecca South



During routine cervical screening, the threads of a patient’s copper IUD are not visible. What is the best approach to manage this common clinical presentation?

Article Extract

Case scenario 

Sara, aged 32 years, presents for routine cervical screening. She had a copper intrauterine device (IUD) inserted two years ago and on examination you are unable to see the threads at the cervical os. She says she has never attempted to check the threads herself and is unaware of the IUD being expelled. 

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