Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature
We present the case of a 27-year-old lady who was seen in the infertility clinic with a history of secondary infertility of a one-year duration. She had a hysteroscopy and Mirena insertion for heavy periods. Coil strings were not found by the GP during first coil check six weeks after insertion. A p...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/189565 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850232326920863744 |
|---|---|
| author | Smriti R. C. Bhatta Radwan Faraj |
| author_facet | Smriti R. C. Bhatta Radwan Faraj |
| author_sort | Smriti R. C. Bhatta |
| collection | DOAJ |
| description | We present the case of a 27-year-old lady who was seen in the infertility clinic with a history of secondary infertility of a one-year duration. She had a hysteroscopy and Mirena insertion for heavy periods. Coil strings were not found by the GP during first coil check six weeks after insertion. A pelvic ultrasound scan did not show any coil, and it was not investigated further with a possible diagnosis of coil expulsion made. One year following that, she was seen in the infertility clinic. Initial investigations revealed anovulation, and HSG located the coil to be extrauterine. Mirena was removed laparoscopically, and a month following the removal she conceived. She is currently pregnant. This case highlights the effect of extrauterine mirena coils on fertility by possibly causing higher plasma levels of levonorgesterol and resulting suppression of ovulation. Laparoscopic removal of mirena coil can help in restoration of fertility. |
| format | Article |
| id | doaj-art-00573458e09341f2a7cac03e4510bd59 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-00573458e09341f2a7cac03e4510bd592025-08-20T02:03:14ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/189565189565Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the LiteratureSmriti R. C. Bhatta0Radwan Faraj1Sheffield Teaching Hospitals NHS Trust, Sheffield S10 2SF, UKRotherham Hospital, NHS Trust, Rotherham S60 2UD, UKWe present the case of a 27-year-old lady who was seen in the infertility clinic with a history of secondary infertility of a one-year duration. She had a hysteroscopy and Mirena insertion for heavy periods. Coil strings were not found by the GP during first coil check six weeks after insertion. A pelvic ultrasound scan did not show any coil, and it was not investigated further with a possible diagnosis of coil expulsion made. One year following that, she was seen in the infertility clinic. Initial investigations revealed anovulation, and HSG located the coil to be extrauterine. Mirena was removed laparoscopically, and a month following the removal she conceived. She is currently pregnant. This case highlights the effect of extrauterine mirena coils on fertility by possibly causing higher plasma levels of levonorgesterol and resulting suppression of ovulation. Laparoscopic removal of mirena coil can help in restoration of fertility.http://dx.doi.org/10.1155/2011/189565 |
| spellingShingle | Smriti R. C. Bhatta Radwan Faraj Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature Case Reports in Obstetrics and Gynecology |
| title | Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature |
| title_full | Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature |
| title_fullStr | Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature |
| title_full_unstemmed | Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature |
| title_short | Restoration of Fertility after Removal of Extrauterine Mirena Coil: A Case Report and Review of the Literature |
| title_sort | restoration of fertility after removal of extrauterine mirena coil a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2011/189565 |
| work_keys_str_mv | AT smritircbhatta restorationoffertilityafterremovalofextrauterinemirenacoilacasereportandreviewoftheliterature AT radwanfaraj restorationoffertilityafterremovalofextrauterinemirenacoilacasereportandreviewoftheliterature |