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Chapter 15 - Tips and Tricks when Using Ultrasound in a Contraception Clinic

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Sheila Radhakrishnan  and
Shilpa Kolhe
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Long-acting reversible contraceptives like intrauterine devices (IUDs) and systems (IUSs) and subdermal implants (SDIs) are widely used contraceptive devices in the world today. Intrauterine devices and systems together are referred to as intrauterine contraception (IUC). In the UK, IUCs and SDIs constitute approximately 38 per cent of the contraceptives used by women of reproductive age. Imaging plays an important role in a contraceptive clinic in ensuring IUDs/IUSs are correctly sited, locating them in case of missing threads and aiding in their removal or insertion. Of the imaging methods available, ultrasound is the most commonly used due to ease of availability, lack of exposure to radiation and cost-effectiveness. The transducers used to locate IUCs are usually a transvaginal probe and a curved transabdominal probe. The latter proves to be very useful in performing ultrasound-guided procedures.

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 211 - 218
Publisher: Cambridge University Press
Print publication year: 2020

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References

Peri, N, Graham, D, Levine, D. Imaging of intrauterine contraceptive devices, J Ultrasound Med 2007;26:1389–401.Google Scholar
Health and Social Care Information Centre. Statistics on Sexual and Reproductive Health Services. England 2015/2016. Health and Social Care Information Centre, 2016.Google Scholar
Schering Oy. Mirena [product information], 2006.Google Scholar
Zalel, Y. Sonographic and Doppler flow characteristics of levonorgestrel and copper-releasing intrauterine devices. Med Gen Med 2003;5:38.Google Scholar
Wildemeersch, D, Hasskamp, T, Goldstuck, ND. Malposition and displacement of intrauterine devices: diagnosis, management and prevention. Clin Obstet Gynecol Reprod Med 2016;2(3):183–8.Google Scholar
Faculty of Sexual and Reproductive Healthcare. Intrauterine contraception: CEU guidance. 2015.Google Scholar
Morales-Rosello, J. Spontaneous upward movement of lowly placed T-shaped IUDs. Contraception 2005;72:430–1.CrossRefGoogle ScholarPubMed
Bonilla-Musoles, F, Raga, F, Osborne, NG, Blanes, J. Control of intrauterine device insertion with three-dimensional ultrasound: is it the future? J Clin Ultrasound 1996;24:263–7.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Lee, A, Eppel, W, Sam, C, et al. Intrauterine device localization by three-dimensional transvaginal ultrasonography. Ultrasound Obstet Gynecol 1997;10:289–92.Google Scholar
Muller, LAL, Ramos, LJG, Martins-Costa, SH, et al. Transvaginal ultrasonographic assessment of the expulsion rate of intrauterine devices inserted in the immediate postpartum period: a pilot study. Contraception 2005;72:192–5.Google Scholar
Faculty of Sexual and Reproductive Healthcare. Progestogen-only implants, 2014. Available at: www.fsrh.org/pdfs/CEUGuidanceProgestogenOnlyImplants.pdf.Google Scholar
Walling, M. How to remove impalpable Implanon® implants. J Fam Plann Reprod Health Care 2005;31(4):320–1.CrossRefGoogle ScholarPubMed
Singh, M, Mansour, D, Richardson, D. Location and removal of non-palpable Implanon® implants with the aid of ultrasound guidance. J Fam Plann Reprod Health Care 2006;32(3):153–6.CrossRefGoogle ScholarPubMed
Mansour, D, Fraser, IS, Walling, M, et al. Methods of accurate localisation of non-palpable subdermal contraceptive implants. J Fam Plann Reprod Health Care 2008;34(1):9–12.CrossRefGoogle ScholarPubMed
Rowlands, S, Searle, S. Contraceptive Implants: current perspective – a review. OAJC 2015;5:73–84.Google Scholar
Jeirath, N, Basinski, CM, Hammond, MA. Hysteroscopic sterilization device follow-up rate: hysterosalpingogram versus transvaginal ultrasound. J Minim Invasive Gynaecol 2017;25(5):836–41.Google ScholarPubMed
Dhruva, SS, Ross, JS, Gariepy, AM. Revisiting Essure – towards safe and effective sterilization. NEJM 2015;373:e17.Google Scholar

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