ABSTRACT
Intrauterine pregnancy on the background of intrauterine devices heralds
its rare but possible failure. Despite having an excellent contraceptive
pearl index, clients with copper-T may present with typical pregnancy
symptoms. We present a case of a 22 year primigravida who after 42
months of successful use of copper-T, conceived an intrauterine
pregnancy diagnosed at 7 weeks period of gestation. After a thorough
explanation about possibility of viable pregnancy and also its pros and
cons, she decided to terminate the pregnancy. Manual vacuum aspiration
was done with removal of copper-T. Term pregnancies with excellent
prognosis have been demonstrated in many studies after removal of
intrauterine devices. Close follow up is needed to identify misplaced
copper-T and keep unwanted pregnancy at bay.