A 32-year-old woman in her first trimester of pregnancy has an incidental finding of an LNG-IUS in situ. She wishes to continue the pregnancy. The thr...

Question

A 32-year-old woman in her first trimester of pregnancy has an incidental finding of an LNG-IUS in situ. She wishes to continue the pregnancy. The threads are not visible. Ultrasound shows the device in the uterine cavity. What is the recommended management?

Accepted Answer

If threads are not visible and removal would require invasive instrumentation, the LNG-IUS should be left in situ. The woman should be counselled about the increased risks of miscarriage, preterm birth, and septic complications. Close antenatal surveillance is recommended

Answer

Attempt removal under ultrasound guidance

Answer

The pregnancy must be terminated

Answer

The LNG-IUS will be expelled spontaneously

Answer

Schedule removal at 20 weeks

uk-dfsrh MCQ (SBA): Pregnancy with LNG-IUS Non-Visible Threads Leave In Situ

A 32-year-old woman in her first trimester of pregnancy has an incidental finding of an LNG-IUS in situ. She wishes to continue the pregnancy. The threads are not visible. Ultrasound shows the device in the uterine cavity. What is the recommended management?