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Rebecca Durante: Correct IUD Assessment Requires Evaluation of Both the Stem and Transverse Arms
Rebecca Durante/LinkedIn
Jul 11, 2026, 05:36

Rebecca Durante: Correct IUD Assessment Requires Evaluation of Both the Stem and Transverse Arms

Rebecca Durante, Midwife Trainee Sonographer at Chelsea and Westminster Hospital NHS, shared a post on LinkedIn:

“Think the IUD Is Normal?

Look Again with 3D Ultrasound

Correct IUD assessment requires evaluation of both the stem and transverse arms. While 2D ultrasound may suggest a normally positioned device, 3D coronal imaging can reveal subtle malposition.

In This Case

A 21-year-old nulliparous woman presented with persistent left lower quadrant pain since after IUD insertion (2 months ago).

2D Transvaginal Ultrasound

  • IUD appears centrally located within the endometrial cavity.

3D Coronal View

  • Misaligned IUD arms.
  • Right arm extends 3 mm into the myometrium.
  • Left arm extends into the uterine cornu.

These findings indicate a malpositioned IUD that is not apparent on 2D imaging.

Teaching Point: The 3D coronal view is the gold standard for assessing IUD arm position and detecting subtle embedment or malposition that may explain pelvic pain.”

Rebecca Durante: Correct IUD Assessment Requires Evaluation of Both the Stem and Transverse Arms

Stay updated on all scientific advances in the field of fertility with Fertility News.

2D Transvaginal Ultrasound 3D Coronal View Fertility Fertility News IUD Rebecca Durante reproductive health Reproductive Medicine uterine cornu
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