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Twenty-one Years Inside the Uterus
August 2003, Vol. 10, No. 3
The Journal of the American Association of Gynecologic Laparoscopists
Images in Endoscopy
Twenty-one Years Inside the Uterus Togas Tulandi, M.D., Camille Sylvestre, M.D., and Haya Al-Fozan, M.D.
FIGURE 1. (A) Ring IUD. (B) The same IUD in a photograph taken with a hysteroscopic camera (original magnification 5 ×).
In 1909 a German physician described intrauterine insertion of silkworm catgut ring to prevent pregnancy. Over the years, the shape of the intrauterine device (IUD) has changed from ring to T-shaped; most modern IUDs contain copper or hormones. The stainless steel ring IUD is still used in China, and given the ease of worldwide
travel, gynecologists might encounter this type of device in practice. A 50-year-old woman was referred to us after failed removal of an IUD that had been inserted a few months after vaginal delivery 21 years earlier in China. Hysteroscopy revealed a ring IUD, which was removed (Figures 1 and 2).
From the Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada (all authors). Submitted January 10, 2003. Accepted for publication March 30, 2003. Reprinted from the JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, August 2003, Vol. 10 No. 3 © 2003 The American Association of Gynecologic Laparoscopists. All rights reserved. This work may not be reproduced in any form or by any means without written permission from the AAGL. This includes but is not limited to, the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. To order multiple reprints of an individual article or request authorization to make photocopies, please contact the AAGL.
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The Journal of the American Association of Gynecologic Laparoscopists
Images in Endoscopy
Twenty-one Years Inside the Uterus Togas Tulandi, M.D., Camille Sylvestre, M.D., and Haya Al-Fozan, M.D.
FIGURE 1. (A) Ring IUD. (B) The same IUD in a photograph taken with a hysteroscopic camera (original magnification 5 ×).
In 1909 a German physician described intrauterine insertion of silkworm catgut ring to prevent pregnancy. Over the years, the shape of the intrauterine device (IUD) has changed from ring to T-shaped; most modern IUDs contain copper or hormones. The stainless steel ring IUD is still used in China, and given the ease of worldwide
travel, gynecologists might encounter this type of device in practice. A 50-year-old woman was referred to us after failed removal of an IUD that had been inserted a few months after vaginal delivery 21 years earlier in China. Hysteroscopy revealed a ring IUD, which was removed (Figures 1 and 2).
From the Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada (all authors). Submitted January 10, 2003. Accepted for publication March 30, 2003. Reprinted from the JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, August 2003, Vol. 10 No. 3 © 2003 The American Association of Gynecologic Laparoscopists. All rights reserved. This work may not be reproduced in any form or by any means without written permission from the AAGL. This includes but is not limited to, the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. To order multiple reprints of an individual article or request authorization to make photocopies, please contact the AAGL.
309