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Ideally use litothomy position
Always conduct a pelvic examination to establish the position of the uterus
Ensure alignment of the cervical canal and uterine cavity as the inserter is not very flexible
Always sound the uterus to know the direction and depth of the cavity
Do not proceed with the insertion if sounding is impossible or if you have any doubt
Insert the GyneFix® applicator until you reach the fundus and keep it in contact with the fundus until you release the thread
Move the inserter forward slowly and gently to implant the knot
Check with an ultrasound scan if you have any doubt and remove the implant if it is not in the correct position
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