{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:28:26Z","timestamp":1787171306427,"version":"build-2736575974"},"reference-count":9,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Objectives<\/jats:title>\n To evaluate the relationship between intrauterine device (IUD) malposition and patient\u2010reported symptoms, identify risk factors associated with malposition, and assess the reliability of string checks compared with ultrasound findings.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective chart review was conducted at West Virginia University between January 2021 and December 2023. Patients with malpositioned IUDs identified by pelvic ultrasound were included. Data collected included demographics, body mass index (BMI), IUD type, provider type, anatomical abnormalities, symptom profiles, and string check findings. Descriptive statistics were used to summarize the data, and associations with types of IUD malposition were assessed in the statistical analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 175 patients with malpositioned IUDs were identified. Approximately half of the patients were symptomatic (53.1%), most commonly reporting pelvic pain or abnormal uterine bleeding, while 46.9% were asymptomatic. Low intrauterine placement was the most frequent malposition pattern. String visualization was common but did not reliably exclude malposition. No demographic, device, or provider characteristics were significantly associated with specific malposition types.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Nearly half of patients with malpositioned IUDs were asymptomatic, and visible strings were frequently present, highlighting the limitations of symptom assessment and string checks. Ultrasound plays a central role in evaluating IUD position when clinical concern exists.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jum.70262","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T09:21:07Z","timestamp":1776072067000},"page":"2021-2027","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Relevance and Symptom Patterns for Malpositioned Intrauterine Devices"],"prefix":"10.1002","volume":"45","author":[{"given":"Omar F.","family":"Due\u00f1as\u2010Garc\u00eda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology West Virginia University School of Medicine Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"McGrath","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Walters","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiling","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sijin","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowan","family":"Shon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology West Virginia University School of Medicine Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"585","article-title":"Ultrasound evaluation of intrauterine devices","volume":"114","author":"Benacerraf BR","year":"2009","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_3_1","first-page":"206","article-title":"Malpositioned intrauterine devices: when you should intervene (and when you should not)","volume":"119","author":"Braaten KP","year":"2012","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_4_1","first-page":"1779","article-title":"The significance of nonfundal intrauterine device placement detected on sonography","volume":"29","author":"Shipp TD","year":"2010","journal-title":"J Ultrasound Med"},{"key":"e_1_2_8_5_1","first-page":"81","article-title":"Intrauterine devices: management of complications","volume":"27","author":"Moschos E","year":"2011","journal-title":"Ultrasound Q"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des246"},{"key":"e_1_2_8_7_1","first-page":"202","article-title":"Comparison of transvaginal ultrasonography and pelvic X\u2010ray for localization of intrauterine contraceptive devices","volume":"101","author":"Bozdag G","year":"2020","journal-title":"Contraception"},{"key":"e_1_2_8_8_1","first-page":"1061","article-title":"Performance of low\u2010placed intrauterine devices for contraception","volume":"123","author":"Turok DK","year":"2014","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_9_1","first-page":"1499","article-title":"Diagnostic accuracy of sonography in the detection of intrauterine contraceptive devices","volume":"30","author":"Moschos E","year":"2011","journal-title":"J Ultrasound Med"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det074"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.70262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.70262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.70262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:09:52Z","timestamp":1787170192000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.70262"}},"subtitle":["A Retrospective Ultrasound\u2010Based Study"],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/jum.70262"],"URL":"https:\/\/doi.org\/10.1002\/jum.70262","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2026-01-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}