Forgotten intra uterine contraceptive device: A rare cause of secondary infertility: A case report

Abstract

Infertility is a very common disorder of reproduction and it’s considered high in Africa generally and Nigeria in particular.^1. The ability to bear children is very important in an African marriage to the extent that the very existence and stability of marriage is hinged on it. ^{2, 3.} Ironically fertility is also very high in Africa partly due to low contraceptive prevalence and awareness.⁴ Most of these pregnancies are unwanted necessitating voluntary termination of pregnancies. Because of unfavorable legislations most of the abortions are done by quacks that lack the necessary skills for counseling and post abortion contraception. ⁵ Because IUCDs ⁶ are relatively cheap, available, easy to insert and with little or no need for follow up they are often inserted during dilatation and curettage

We report here an unusual case of secondary infertility of nine years duration due to a post abortal IUCD inserted during a D and C to terminate an unwanted pregnancy without the patient’s knowledge.

Key words: IUCD, secondary infertility, hysterosalpingography