Retained Lippes Loop Intrauterine Device (IUD) in a Woman With Post-menopausal Bleeding and Chronic Pelvic Pain

Leila Neisani Samani, Elham Neisani Samani
In: Cureus · 2026 · vol. 18(4) , pp. e106681 · doi:10.7759/cureus.106681 · PMID:42110089 · W7152047970
article OA: diamond CC0
📄 Open PDF View on OpenAlex View on PubMed View at publisher

Abstract

Forgotten intrauterine devices (IUDs), particularly those retained for decades, can lead to complications in postmenopausal women, including bleeding and chronic pelvic pain. The Lippes Loop IUD, widely used from the 1960s to the 1980s, is now rarely encountered. We present the case of a 68-year-old woman with a forgotten Lippes Loop IUD who presented with chronic pelvic pain and postmenopausal bleeding. The patient was uncertain whether her IUD had been spontaneously expelled or removed. During a laparoscopic hysterectomy performed for postmenopausal bleeding, an intra-pelvic Lippes Loop IUD was discovered embedded in the cul-de-sac and successfully removed. The patient tolerated the procedure well, and her postoperative period was uneventful. Her symptoms resolved completely at follow-up. Removal of a retained IUD is highly recommended, particularly in postmenopausal women. Patients with an IUD presenting with postmenopausal bleeding and pelvic pain should be closely evaluated. We emphasize the importance of adequate counseling, regular follow-up for IUD users, and timely removal once the device has expired or is no longer indicated."

My notes (saved in your browser only)

Condition tags

chronic_pelvic_pain

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2026) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

References (13)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK