The doctors consulted and decided that the ring had been in the uterus for too long and needed to be removed immediately. The normal procedure for removing the ring is simple, but this case encountered many difficulties. The doctors removed a uterine fibroid along with the ring encased in the fibroid. The patient's uterus was preserved intact.

An intrauterine device (IUD) is a small device (usually T-shaped) that is placed in the uterus to prevent pregnancy. The two common types of IUDs today are T-shaped and arc-shaped. The mechanism of the IUD is to cause an inflammatory reaction in the uterine lining, changing the biochemical structure of the endometrium cells, preventing a fertilized egg from implanting in the uterus.

IUDs are a temporary contraceptive method for women, highly effective, easy to perform, economical and effective for many years. However, IUDs can cause some complications such as menorrhagia, back pain, misplacement, bleeding, intestinal perforation or peritonitis.

Doctors recommend removing the IUD after 5 years when it has stopped being effective as a contraceptive. During the time the IUD is in place, regular gynecological examinations are required or when there are unusual signs to detect complications and promptly treat them.

Minh An