Koh Audrey S
Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California, San Francisco, San Francisco, California, USA.
Womens Health Rep (New Rochelle). 2023 Jan 18;4(1):11-18. doi: 10.1089/whr.2022.0099. eCollection 2023.
This series of four cases describes unusual intrauterine device (IUD) migration complications, associated etiologic factors, and their management. Recent increases in sociopolitical and medical forces worldwide contributed to inattention to these patients with subclinical IUD complications. The international movement of patients, delays in gynecologic care due to the COVID-19 pandemic, lack of health care access, shifts away from annual examinations, and patients' lack of medical records or IUD awareness can lead to long durations of neglected IUDs and associated complications. These complications might have been avoided or minimized with regular gynecologic health care. Physicians should consider moving toward routine examinations of all IUD patients, rather than away from annual examinations as has been promulgated by some medical societies. Patient education is needed on the importance of routine monitoring of IUDs and retention of device records. Clinicians should become familiar with IUDs from around the world as well as devices no longer being prescribed, as their appearance, associated complications, and presentations may differ from locally currently available devices.
本系列的四个病例描述了宫内节育器（IUD）迁移的异常并发症、相关病因及其处理。近年来，全球社会政治和医疗力量的变化导致对这些有亚临床IUD并发症患者的关注不足。患者的国际流动、因新冠疫情导致的妇科护理延误、缺乏医疗保健机会、不再进行年度检查以及患者缺乏病历或IUD知识，都可能导致IUD长期被忽视及其相关并发症。通过定期的妇科保健，这些并发症本可避免或降至最低。医生应考虑对所有IUD使用者进行常规检查，而不是像一些医学协会所倡导的那样不再进行年度检查。需要对患者进行教育，使其了解IUD常规监测和保留器械记录的重要性。临床医生应熟悉世界各地的IUD以及不再开具处方的器械，因为它们的外观、相关并发症和表现可能与当地目前可用的器械不同。
