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Intrauterine devices (arrow) are usually a safe means of contraception, but uncommonly they may push through the uterine wall (U), causing pain or other problems.
U = Uterine wall. The uterus is mostly dark on ultrasound, as shown on this sagittal (from the side) view.

Note: Images are shown for illustrative purposes. Do not attempt to draw conclusions or make diagnoses by comparing these images to other medical images, particularly your own. Only qualified physicians should interpret images; the radiologist is the physician expert trained in medical imaging.