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Welcome and thank you for your question.
After 28 years, the IUCD is probably embedded into the endometrium or the uterine muscle .
Please get an ultrasound done. If it is embedded and you have no symptoms, nothing needs to be done. It can be left in place. Some IUCDs tend to migrate outside the uterus. If it is not causing any symptoms, it does not need to be removed. But you do need to get an ultrasound to identify the site and position of the IUCD.
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