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Hello. I am looking for as many professional opinions as I can get right now. Work in an office with other doctors? Ask them too.... Please! Patient comes in for IUD (Mirena) implant. Medication in given to soften cervix, IUD inserted, the end..... Patient is 32 and unknowingly conceived 10 days prior. Medication and IUD SHOULD (statistically) terminated unknown pregnancy. Patient goes to ER thinking she has a cyst causing pain on left ovary, only to discover she is pregnant, with a boy (17w3d). Seen at OB for ultrasound. RNP thinks she sees IUD, but unsure. It is never looked for again. Doctor seen through rest of pregnancy says there is "no evidence" of it being there, assumes it came out soon after going in. What steps would you take during a suspected IUD pregnancy or following delivery to ensure the IUD was out of patient's body? (Not in uterus or somewhere else in abdomen) 1 year since birth of child, no return of menses, and IUD was recently found in uterus on ultrasound. How would you proceed? Bayer was ZERO help when called for guidance.