Tilahun Temesgen, Tadesse Asfaw, Oljira Rut
Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Obstetrics & Gynecology, Nekemte Specialized Hospital, Nekemte, Ethiopia.
Int Med Case Rep J. 2022 Jul 20;15:373-377. doi: 10.2147/IMCRJ.S374565. eCollection 2022.
Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women. Therefore, appropriate counseling during insertion and timely removal is crucial.
We present the case of retained Lippes loop IUD for 40 years in a 75-year-old postmenopausal patient from Western Ethiopia. The patient presented to the hospital with postmenopausal pelvic pain. Speculum exam showed part of loop at external cervical os. The loop was easily removed with spongy forceps. The patient was discharged with analgesia and doxycycline twice a day for 3 days.
In the absence of embedment of an IUD into the uterine wall or uterine perforation, spontaneous expulsion of an IUD after prolonged use is possible.
宫内节育器是全球广泛使用的避孕方法。这些节育器可靠、经济有效、长效且可逆。它们在子宫内的放置通常简单且安全。遗忘的宫内节育器会引发一些并发症，并可能对女性健康产生不利影响。因此，放置过程中的适当咨询和及时取出至关重要。
我们报告了一名来自埃塞俄比亚西部的75岁绝经后患者，其Lippes环形宫内节育器留存了40年。该患者因绝经后盆腔疼痛入院。窥器检查显示宫颈外口有部分节育器环。用海绵钳轻松取出了节育器环。患者出院时带了镇痛药，每天服用两次强力霉素，共服用3天。
在宫内节育器未嵌入子宫壁或子宫未穿孔的情况下，长期使用后节育器有可能自行排出。
