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

Abstract 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.