Diagnosis and management of lost intrauterine contraceptive device.

OBJECTIVE To study the pattern of referral, method of diagnosis and management of patients admitted with lost Intrauterine Device (IUD). METHODS A prospective study was conducted about lost intrauterine contraceptive devices and its management, in Gynaecology Department of Nishtar Hospital, Multan. Twenty eight patients with lost IUD were identified out of 7816 gynaecology admissions, during this period. The diagnosis was made on ultrasonography. RESULTS IUDs were removed after dilatation of cervix and exploration of uterine cavity in 20 patients. Five cases underwent laparotomy, in 2 cases laparoscopic removal was done and in one case IUD was taken out through proctoscope. In most of the cases IUD was inserted by untrained personnel. CONCLUSION It is recommended that IUDs should be inserted after proper case selection by trained medical professionals.