Glickman Mia, Cohen Jessica, Perumareddi Parvathi
Family Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Obstetrics and Gynecology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2025 Apr 17;17(4):e82444. doi: 10.7759/cureus.82444. eCollection 2025 Apr.
Intrauterine devices (IUDs) are widely utilized, long-acting reversible contraceptives with established guidelines for timely removal. Prolonged IUD retention into the postmenopausal period is an uncommon phenomenon but may have various effects on the endometrium. We present the case of a 64-year-old female who presented with postmenopausal bleeding (PMB) and was incidentally found to have a copper T380A IUD retained in utero for 29 years. The IUD was removed without complications, and her bleeding resolved following removal. However, endometrial biopsy revealed hyperplasia without atypia. Although retention of the IUD posed no major complications for this patient, it is unknown whether its presence contributed to her presentation of PMB. Potential adverse effects and complications of prolonged IUD use are also important to consider and are discussed therein. A brief review of case reports highlighting the outcomes of prolonged IUD retention is also provided.
宫内节育器（IUD）是广泛使用的长效可逆避孕器，有关于及时取出的既定指南。宫内节育器在绝经后期长期留存是一种不常见的现象，但可能对子宫内膜产生各种影响。我们报告一例64岁女性，她因绝经后出血（PMB）就诊，偶然发现一枚铜T380A宫内节育器在子宫内留存了29年。宫内节育器被顺利取出，取出后她的出血症状消失。然而，子宫内膜活检显示为非典型性增生。虽然宫内节育器的留存对该患者未造成重大并发症，但尚不清楚其存在是否导致了她的绝经后出血症状。长期使用宫内节育器的潜在不良反应和并发症也很重要，需要加以考虑，本文对此进行了讨论。本文还简要回顾了一些强调宫内节育器长期留存结果的病例报告。
