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Contraception - Management
What should I do if the woman cannot feel the thread(s) of her levonorgestrel-releasing intrauterine system (IUS)?
- Confirm the location of the intrauterine system (IUS) by history, clinical examination and, as necessary, by ultrasound and X-ray.
- Expelled IUS
- Arrange for the woman to resume regular contraception.
- Consider if emergency contraception is indicated. For further information, see the CKS topic on Contraception - emergency.
- Intrauterine IUS
- The options are conservative management (leaving the IUS where it is), or replacing it.
- Extrauterine IUS
- Refer for surgical retrieval.
In depth
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