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Lost Intrauterine and Subdermal Contraceptive Devices

 

IUD/IUS

  • Pelvic USS is indicated where IUD/IUS threads that cannot be located. Ensure a suitable alternative form of contraception until further investigation
  • If USS does not locate the device, arrange abdominal and pelvic XR

SDI

  • Impalpable subdermal contraceptive implant should be located using XR (Nexplanon only) or USS of the implant site. Ensure a suitable alternative form of contraception until further investigation
  • If USS or XR does not locate the device, arrange chest XR to exclude intravascular migration

 

Further guidance is available here

 

FSRH Clinical Guideline: Intrauterine Contraception (September 2019)

FSRH Clinical Guideline: Progestogen-only Implant (February 2014)

 

 

 

Date reviewed                     18/02/2022

Next review due                  18/02/2023

Sifter name                          Dr Rebecca Hopkins