Use of intrauterine device in the setting of uterus didelphys

Background: Uterine anomalies are frequently diagnosed in reproductive-aged women and are generally considered a contraindication to the use of intrauterine contraception. We elected to offer this method to a woman with uterus didelphys and a poorly controlled seizure disorder who wished to avoid hormonal and barrier contraceptives. Case: A 17-year-old woman (gravida 1, para 1) with a seizure disorder desired an intrauterine device (IUD). She was found to have uterus didelphys and a complete vaginal septum. After obtaining informed consent, an IUD was placed in each uterine horn. The patient retained both IUDs and was satisfied with the method 9 months after IUD insertion. Conclusion: Intrauterine contraception should be considered an option for women with uterine anomalies on a case-by-case basis.