Related Experiment Video
Updated: Jun 16, 2026
11:44
Establishment of a Rat Model for Intrauterine Adhesions via Dual Injury: Curettage and Infection
Published on: October 3, 2025
[Extrauterine mislocated IUD].
Agnieszka Gardyszewska1, Małgorzata Niewiadomska-Kowalczyk, Beata Szymańska
1II Katedra i Klinika Ginekologii i Połoznictwa, Warszawski Uniwersytet Medyczny. agnieszka_gardyszewska@interia.pl
Ginekologia Polska
|February 4, 2010
Summary
Intrauterine contraceptive devices (IUDs) are effective but can cause complications like uterine perforation. Early detection through missing strings and imaging is key for managing displaced IUDs.
Area of Science:
- Gynecology
- Reproductive Health
- Minimally Invasive Surgery
Background:
- Intrauterine devices (IUDs) are a globally prevalent and effective contraceptive method.
- Common complications include heavy bleeding, pain, expulsion, and uterine perforation.
- Uterine perforation by an IUD is a rare but serious complication.
Observation:
- A retrospective review of five cases of mislocated IUDs between 2000-2008 was conducted.
- Patients presented with symptoms indicating IUD displacement, with an average of 19.2 months between insertion and diagnosis.
- Missing IUD strings during pelvic exams were the initial indicator of potential expulsion.
Findings:
- Five cases of uterine perforation by IUDs were identified, with devices found in various pelvic and abdominal locations.
- Laparoscopic surgery was the primary treatment, with one conversion to laparotomy.
- Diagnostic tools included transvaginal sonography and abdominal X-ray.
Implications:
- Prompt diagnosis and surgical intervention, often laparoscopically, are crucial for managing uterine perforation by IUDs.
- While IUDs are safe, awareness of potential complications like perforation is essential for healthcare providers and patients.
- Further research into risk factors and prevention strategies for IUD-related uterine perforation may be warranted.
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