{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:45:07Z","timestamp":1757616307917,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2004,1,21]]},"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:p>A case of migration of an intrauterine device (IUD) deep within the endometrium, presenting as heavy vaginal bleeding and abdominal pain, is discussed. The IUD had been in situ for 31 years. Standard retrieval techniques failed and removal necessitated hysterectomy. The complications of 'lost IUDs' are discussed and the need to enquire about removal in all women on approaching the menopause is emphasised.<\/jats:p>","DOI":"10.1783\/1471189041261645","type":"journal-article","created":{"date-parts":[[2005,3,5]],"date-time":"2005-03-05T01:30:57Z","timestamp":1109986257000},"page":"174-175","source":"Crossref","is-referenced-by-count":2,"title":["The lost intrauterine device: removal by hysterectomy"],"prefix":"10.1136","volume":"30","author":[{"given":"Louise","family":"Byrd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Slade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2004,7,1]]},"reference":[{"key":"ref_1","first-page":"859","article-title":"The IUD; still misunderstood after all these years","volume":"93","author":"Cheng, D.","year":"2000","unstructured":"Cheng D. The IUD; still misunderstood after all these years. South Med J 2000; 93: 859\u2013864.","journal-title":"South Med J"},{"key":"ref_2","first-page":"5","article-title":"Long term IUD user at menopause. The case of a woman who wore an IUD for 14 years","volume":"40","author":"Smith, D.","year":"1987","unstructured":"Smith D. Long term IUD user at menopause. The case of a woman who wore an IUD for 14 years. S D J Med 1987; 40: 5\u20136.","journal-title":"S D J Med"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1093\/ije\/26.3.496","article-title":"Intrauterine device use and endometrial cancer risk","volume":"26","author":"Sturgeon, SR, Brinton; LA, Berman; M.L.","year":"1997","unstructured":"Sturgeon SR, Brinton LA, Berman ML, et al. Intrauterine device use and endometrial cancer risk. Int J Epidemiol 1997; 26: 496\u2013500.","journal-title":"Int J Epidemiol"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/S0301-2115(02)00153-7","article-title":"IUD use and the risk of endometrial cancer","volume":"102","author":"Benshushan, A.; Paltiel, O.; Rojansky, N.","year":"2002","unstructured":"Benshushan A, Paltiel O, Rojansky N, et al. IUD use and the risk of endometrial cancer. Eur J Obstet Gynecol Reprod Biol 2002; 102: 166\u2013169.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref_5","first-page":"163","article-title":"Real-time ultrasonography for location of IUDs. Contracept Deliv Syst","volume":"2","author":"Reiertsen, O.","year":"1981","unstructured":"Reiertsen O. Real-time ultrasonography for location of IUDs. Contracept Deliv Syst 1981; 2: 163\u2013169."},{"key":"ref_6","first-page":"229","article-title":"Hysteroscopic management of intrauterine contraceptive devices with lost IUCD strings","volume":"26","author":"Trivedi, S.S.; Goel, M.; Jain, S.","year":"2000","unstructured":"Trivedi SS, Goel M, Jain S. Hysteroscopic management of intrauterine contraceptive devices with lost IUCD strings. Br J Fam Plann 2000; 26: 229\u2013230.","journal-title":"Br J Fam Plann"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/S0015-0282(16)43587-9","article-title":"Difficult removal of an intrauterine contraceptive device associated with perimenopausal atropy","volume":"30","author":"Goldberg, M.F.; Albee, R.B.","year":"1978","unstructured":"Goldberg MF, Albee RB. Difficult removal of an intrauterine contraceptive device associated with perimenopausal atropy. Fertil Steril 1978; 30: 478\u2013479.","journal-title":"Fertil Steril"},{"issue":"0","key":"ref_8","first-page":"\"23","article-title":"Correspondence: Dr Anagha Nadgir, Contraception and Reproductive Health Services","volume":"44","author":"Road, Middlesbrough; Bank, South; Middlesbrough","year":"2004","unstructured":"Correspondence: Dr Anagha Nadgir, Contraception and Reproductive Health Services, 23\u201327 Middlesbrough Road, South Bank, Middlesbrough, Teesside TS6 6NW, UK. Tel: +44 (0) 01642 459583. E-mail: anagha.nadgir@nhs.net (Accepted 29 March 2004)","journal-title":"Tel; Teesside TS6 6NW, UK"},{"issue":"3","key":"ref_9","first-page":"175","article-title":"Family Planning and","volume":"30","author":"of, Journal","year":"2004","unstructured":"Journal of Family Planning and Reproductive Health Care 2004; 30(3): 175\u2013176","journal-title":"Reproductive Health Care"},{"key":"ref_10","article-title":"Case report A 30-year-old woman attended our contraception advice clinic in","volume-title":"for removal of her intrauterine device (IUD) because she wanted to conceive","year":"2003","unstructured":"Case report A 30-year-old woman attended our contraception advice clinic in March 2003 for removal of her intrauterine device (IUD) because she wanted to conceive."},{"key":"ref_11","unstructured":"A Gyne T380\u00ae IUD (Janssen-Cilag) was inserted in August 2000 on Day 7 of the patient\u2019s menstrual cycle without any difficulty. The IUD threads were in situ at her 6-week and annual checks.","article-title":"A Gyne T380\u00ae IUD (Janssen-Cilag) was inserted in August 2000 on Day 7 of the patient\u2019s menstrual cycle without any difficulty. The IUD threads were in situ at her 6-week and annual checks"},{"key":"ref_12","unstructured":"She had one child born in 1995 by spontaneous vaginal delivery at term. She had no medical or surgical history of significance.","article-title":"She had one child born in 1995 by spontaneous vaginal delivery at term. She had no medical or surgical history of significance"},{"key":"ref_13","unstructured":"Discussion Although the Gyne T380 IUD is no longer available, some women may have the device in place until 2009. The manufacturer\u2019s medical information department have confirmed that there have been no reported cases of fragmentation of Gyne T380 devices during their removal. The literature includes reports of this complication in Multiload\u00ae Cu250 device users1\u20133 and one case report in a Lippes\u00ae loop user.4","article-title":"Discussion Although the Gyne T380 IUD is no longer available, some women may have the device in place until 2009. The manufacturer\u2019s medical information department have confirmed that there have been no reported cases of fragmentation of Gyne T380 devices during their removal. The literature includes reports of this complication in Multiload\u00ae Cu250 device users1\u20133 and one case report in a Lippes\u00ae loop user.4"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/1471189041261645","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:51:24Z","timestamp":1757094684000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/1471189041261645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,7]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2004,7,1]]},"published-print":{"date-parts":[[2004,7]]}},"alternative-id":["10.1783\/1471189041261645"],"URL":"https:\/\/doi.org\/10.1783\/1471189041261645","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2004,7]]}}}