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- W2049348242 abstract "In this letter attention is focused on a case which demonstrates that if an IUD is to be removed for reasons other than cessation of contraceptive measures, it should not be removed at the time of expected ovulation. A 32-year old woman presented recently with 6 weeks amenorrhoea and was found to be pregnant. In the past she had used a vaginal diaphragm. Following the birth of her last child in November 1975 she again used a diaphragm, but she requested a change and was fitted with a Gravigard Copper-7 IUD after she finished breast-feeding and on resumption of menstruation. Her normal menstrual cycle came every 25-28 days, each period lasting 6 days with a moderate loss. Her periods lengthened to 10 days over the next few months and by September 1977 this had extended to 2 weeks. The decision was made to remove her IUD, and this was done on September 30. She resumed use of her diaphragm. Despite the fact that she is a responsible person and has used the diaphragm successfully in the past, she was found to be pregnant 5 weeks later. On close questioning, she revealed that, although she had been scrupulous in observing contraceptive measures since the IUD had been removed, she had had intercourse 48-72 hours before this was done. Removal was effected 13 days after the 1st day of her last menstrual period, and it therefore seemed likely that the IUD had been removed just in time to allow implantation of a fertilized ovum. A consulting gynecologist performed an abortion for this woman. It is important to note that with those women with regular menstrual cycles such an unwanted pregnancy can be avoided simply by ensuring that IUDs are not removed 7 days each side of midcycle." @default.
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- W2049348242 date "1978-01-07" @default.
- W2049348242 modified "2023-10-18" @default.
- W2049348242 title "IUCDs--a contraindication to removal." @default.
- W2049348242 doi "https://doi.org/10.1136/bmj.1.6104.51-b" @default.
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