We report on a 25-year old nulliparous patient requesting nonhormonal intrauterine contraception because of intolerance to oral contraceptives and severe migraine attacks. Ultrasound evaluation revealed a narrow uterine cavity with maximum diameter of 24 mm and a low-grade uterus arcuatus. Following contraceptive counseling, the patient opted for the insertion of a frameless IUD under hysteroscopic view. The case is discussed with special reference to the place of the frameless IUD in women with a narrow uterine cavity.
Thomas Hasskamp and Dirk Wildemeersch
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