Role of Three-dimensional Ultrasound Imaging in the detection of the Intra Uterine Contraceptive Device Malposition

Abstract

Background: Three-dimensional ultrasonography enhances the imaging capabilities of two-dimensional ultrasonography because of its additional capability to reconstruct the coronal view. It is  particularly useful for visualizing the intrauterine contraceptive device position in relation to the endometrial cavity. 
Aim: To estimate the role of three-dimensional ultrasonography ultrasound in  the  detection  and  evaluation  of  intrauterine  contraceptive  device malposition and other complications. To determine the commonest risk factors  and  presentations  of  the  intrauterine  contraceptive  device malposition. 
Patients  and  Method:  A  cross-sectional  study  was  conducted  in  the Salahadeen General Hospital and a private ultrasound clinic during the period from the 1st of January to the 30th of June 2022. A convenient sample of 100 women who had an intrauterine contraceptive device.  Results: The pain was presented in 24% of the participants, while 22% of them had bleeding. The conspicuity was significantly higher with three- dimensional ultrasonography ultrasound use than with two-dimensional ultrasonography  use.  About  33  (33%)  of  participants  had  intrauterine contraceptive     device     malposition     by     using     three-dimensional ultrasonography ultrasound, and 11(33.3%) of them had normal positions on two-dimensional ultrasonography ultrasound  
Conclusion:  Three-dimensional  ultrasonography  was  better  than  two- dimensional ultrasonography in the detection of intrauterine contraceptive device malposition in symptomatic and asymptomatic women.