there is limited evidence to allow recommendations to be made about management of non-fundally placed intrauterine methods. It is believed that correct IUC insertion to the fundus may be necessary for maximum efficacy and that incorrect placement may increase the risk of expulsion
FSRH state "..overall, the guideline group were of the opinion that contraceptive efficacy of a non-fundally placed IUC cannot be guaranteed, especially if it is more than 2 cm from the fundus on ultrasound measurement. The decision to remove and replace a device is a matter of individual clinical judgement following discussion with the woman and consideration of her individual circumstances (e.g. history of expulsion, age and type of device). Timing of removal may be dictated by recent sexual intercourse. EC may need to be considered in certain circumstances. If removed, immediate replacement or an alternative contraception should be initiated"
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