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.
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