Q:

A 30 year old woman had an IUCD inserted 8-9 months ago. Now on routine follow up the thread is missing. Uterine US showed no IUCD in the uterus. What is the best management?

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A 30 year old woman had an IUCD inserted 8-9 months ago. Now on routine follow up the thread is missing. Uterine US showed no IUCD in the uterus. What is the best management?


  1. Laparoscopy
  2. Pelvic CT
  3. Laparotomy
  4. Pelvic XR

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The key is D. Pelvic XR. [Ultrasound should be arranged to locate the device. If ultrasound does not locate the device and there is no definite history of expulsion then abdominal X-ray should be performed to look for an extrauterine device].

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