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I endorse the conclusion of Moro et al. that ultrasound-guided retrieval of lost intrauterine devices (IUDs) is a highly successful technique and is well tolerated by women.1 I would like to add some comments and suggestions about the technique, particularly regarding the instrument used.
In the 12 months to 30 April 2015, 226 women attended my ‘complex’ case service within the National Health Service (NHS) Gloucestershire Sexual Health Service for management of missing IUD or intrauterine system threads, accounting for around 30% of referrals. I personally saw 136 of these women. All these referrals were seen in 30-minute one-stop appointments staffed by a health care assistant and myself. A sexual and reproductive health (SRH) trainee attended a small number of the clinics. In three cases I did not find the device on scan, and subsequent abdominal X-ray confirmed …
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