Embedded intrauterine contraceptive device

Last revised by Henry Knipe on 25 Sep 2023

An embedded intrauterine contraceptive device (IUCD) is a situation where there is an abnormally-positioned IUCD within the endometrium or myometrium, however, without an extension through the serosa. The intrauterine contraceptive device should be removed in this situation. An intrauterine contraceptive device can become embedded in the wall of the uterus or within the cervix

Embedment may occur in up to 18% of females with an IUCD and is more common in females with smaller fundal endometrial diameters ref.

The intrauterine contraceptive device may appear eccentrically positioned in the endometrial cavity or may appear completely separate and away from the endometrium towards the myometrium.

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