A LAPRATOMY FOR MISSED IUCD

AS BLADDER STONE

Abstract

The intrauterine device is an effective long acting method
of contraception, which is perhaps under rated in
developed world. It results in a local inflammatory
reaction within the cavity of the uterus, which probably,
acting through tubal and uterine fluid, interferes with the
viability of both sperm and eggs1. It also inhibits
implantation. Inert devices are no longer recommended,
like lippe’s loop. Modern copper containing devices are
licensed for use over 5 (Nova T380) to Copper T380
years, after a woman reaches 40 the device need not be
changed and can be removed. One year after the last
menstrual period copper IUDS consisting of a plastic
frame with wire round the stem and some cases copper
caps on arms. The surface area of the copper
determines the life span and efficacy of the device2. A
frame less IUD gynafix composes six copper beads
threaded to hold them all in place and the sting has a
knot at the proximal end which is embedded, using a
special insenter into myometerium, anchoring it in place.
A levonorgestrel releasing device has been licensed in
1995under the trade name of Mirena