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Article
Vaginal misoprostol aids in difficult intrauterine contraceptive removal: a report of three cases.
Contraception
  • Whitney L. Cowman
  • Jean M. Hansen
  • Abbey J. Hardy-Fairbanks, University of Iowa
  • Colleen Kennedy Stockdale, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
9-1-2012
DOI of Published Version
10.1016/j.contraception.2012.01.007
Abstract

BACKGROUND: Intrauterine devices are the most used long-acting reversible contraceptive method worldwide. Under normal circumstances, removal of an intrauterine contraceptive (IUC) is an uncomplicated procedure requiring gentle traction on the string.

STUDY DESIGN: We report three cases of nonvisible IUC strings where, following use of vaginal misoprostol, the IUC strings were visualized and the IUCs were removed intact with gentle traction.

CONCLUSIONS: The uterotonic and uterocontractile effects following vaginal misoprostol facilitated removal in three cases of nonvisible IUC strings. We suggest that clinicians consider including vaginal misoprostol alone or prior to planned repeat office or procedure-clinic interventions for nonvisible IUC strings.

Keywords
  • Administration,
  • Intravaginal,
  • Adult,
  • Device Removal,
  • Female,
  • Humans,
  • Intrauterine Devices,
  • Misoprostol,
  • Oxytocics
Published Article/Book Citation

Copyright © 2012 Elsevier Inc

Citation Information
Whitney L. Cowman, Jean M. Hansen, Abbey J. Hardy-Fairbanks and Colleen Kennedy Stockdale. "Vaginal misoprostol aids in difficult intrauterine contraceptive removal: a report of three cases." Contraception Vol. 86 Iss. 3 (2012) p. 281 - 284 ISSN: 1879-0518
Available at: http://works.bepress.com/colleen_stockdale/4/