Clinical Case Database / Category: Practical Procedure

Insertion and removal of Intrauterine devices

Publication details

Janani Iyer MD MRCOG, Varsha Mulik MD MRCOG
Foundation Years Journal, volume 1, issue 7, p.326 (123Doc Education, London, November 2007)


Mrs CH, 32 years of age, Gravida 2, para 2 presents to the emergency gynaecology clinic. She approached her GP about her inability to feel the threads of her IUD. Her GP referred her to secondary care as threads of the IUD were not visible on speculum examination. Her last menstrual period was one week ago. She wishes to continue with the IUD for contraception. How will you approach this case?

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Janani Iyer MD MRCOG

Specialist Registrar in Obstetrics & Gynaecology
Department of Obstetrics & Gynaecology
Tameside General Hospital

Varsha Mulik MD MRCOG (Corresponding author)

Consultant in Obstetrics & Gynaecology
Department of Obstetrics & Gynaecology
Tameside General Hospital


1.  Van Kets H.E, Van der Pas H, Delbarge W, et al. A randomized comparative study of theTCu380A and Cu-Safe 300 IUDs. Adv Contracept 1995; 11: 123– 129.

2.  Johnson B.A: Insertion and Removal of Intrauterine Devices: American Family Physicians 2005; 71:1:96-102

3.  Spinatto J.A. Mechanism of action of intrauterine contraceptive devices and its relation to informed consent. Am J Obstet Gynecol 1997; 176: 503-6.

4.  Canavan T.P. Appropriate use of the intrauterine device. Am Fam Physician1998; 58:2077-84, 2087-8.

5.  Dennis et al. IUDs: Which device? The Journal of Family Planning and Reproductive Health Care 2002: 28(2)


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.