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Removal of the LNG IUD when strings are not visible: a case series.

Contraception 2014 September
OBJECTIVES: To report length of intrauterine device (IUD) and strings as well as technique for extraction when IUD removal occurs without visible strings.

STUDY DESIGN: A prospective case series of 29 women who had IUDs removed in-office when strings were not visible at the external cervical os.

RESULTS: One third (n=11) were found to have a total length of IUD and strings <7.5 cm. All IUD removals were successfully performed as outpatient procedures.

CONCLUSION: Removal of IUDs without visible strings can be successfully done as an in-office procedure.

IMPLICATIONS: In-office removal of IUDs without visible strings is effective, safe and economically sound.

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