After comprehensive patient counseling about the possibility of continuing pregnancy after IUD removal and the possible complications, our patient decided to terminate the pregnancy. Manual vacuum aspiration (MVA) for termination of pregnancy with the removal of Copper T was planned the following day. For 24 hours, she was in conservative management for intermittent pain.

In the operating room, with adequate monitoring, MVA was performed under intravenous anesthesia (IVA) under aseptic conditions. MVA cannula of size 4 and 6 was used and the product of conception (about 25-30 ml) along with the Copper T was removed. There was minimal blood loss and no other complications were observed.

During her 24 hours of hospital stay, postoperatively, she was managed conservatively. She was able to tolerate sips of liquid 2 hours after the surgery and resumed her normal diet the same day. She had no complications after surgery and was discharged home the next day. Following her follow-up on the 5th day she had no complaints.