Case Report of the Successful Use of Two Skyla Levonorgestrel Intrauterine Devices in a Patient with a Uterine Didelphys

Background: Little is known about contraceptive desires in women with uterine anomalies. Only limited case reports exist regarding the use of intrauterine devices (IUD) in such patients. According to the United States Medical Eligibility Criteria (US MEC) for Contraceptive Use, any abnormally shaped uterine cavity, which includes congenital or acquired uterine abnormalities, are Category 4 for initiation of IUD contraception. We present the case of a young woman with uterine didelphys who desired IUD placement despite significant counseling of other contraceptive options.