Abstract
We report the case of a patient with simultaneously two intrauterine devices with different mechanism of action. By cumulating the effects and adverse reactions of the two intrauterine devices, the patient had severe dysfunctional bleeding and pelvic-abdominal pain. Using scanning electron microscope, we analyzed the surfaces of the two retrieved intrauterine devices in order to establish the physio-pathological mechanisms that occurred and lead to a local but also a hormonal disorder in the reported patient. We would also like to draw the alarm that a complete evaluation (clinical and imagistic) are mandatory prior to the insertion of an intrauterine device.
Keywords: intrauterine devices; mechanism of action; adverse reactions