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General Surgery/Issues with Mirena IUD Removal


I am 30 years old; I had my Mirena implanted on May 2009. Everything seemed to be find, some side effects, but nothing major. At the 6 week check up the IUD was in place and sometime in 2010-2011 I had a sonogram and it was still in place with no problems.  I have had the IUD now for almost 4 years. I recently went to remove the IUD as I want to start having children (I have no children). I went to my OBGYN and when she removed the IUD, it was INCOMPLETE. The IUD is a T shape and the top part of the IUD was missing; only the strings and the little stick were removed. I had an ultrasound and it was confirmed that that other part of the IUD was somewhere in my uterus. Iím schedule to have surgery this week. Iím having a Hysteroscopy to remove it. Iím scared of any procedure that can damage or scar my uterus as I don't have any children.

In 2005 I had a leep procedure done due to cervical dysplasia. Then on 2006, I had a cone biopsy as I had severe cervical dysplasia- cervical cancer stage 0. Due to the above procedures I already have some scaring in my cervix.

Can you tell me anything about this procedure and how can it affect my fertility in the future?
How long should I wait after this type of procedure to conceive?

I want to thank you in advance for any information or advice.

Dear Iris,

Unfortunately, your OBGYN did not have your best interest at heart. Any IUD can cause infertility, this is the reason it is recommended only to those women who already have children and may or may not want any more. With that said, the procedure you will undergo should not increase any scarring of the uterus. It is likely similar to a dilation and curretage also known as a D&C.

It is unlikely that the piece of the IUD is imbedded much further than the first layer of the uterine lining. Your physician will be better able to know this once the examination is underway. As far as a patentcy of your cervix and the ability to carry your child to term, you may want to consider an OBGYN that specializes in high risk pregnancies. They are usually found in the larger medical centers. Wishing you all the best.  

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED


My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

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