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Uterine perforation by copper intrauterine device

P K Heinonen, M Merikari, J Paavonen

    European Journal of Obstetrics, Gynecology, and Reproductive Biology
    |June 1, 1984
    PubMed

    Sixteen cases with uterine perforation by a copper intrauterine device (IUD) are presented. In 13 cases the IUD had been inserted within 5 months following delivery, and in 6 cases the insertion had been painful. Missing string was the first sign in most cases. Laparatomy was performed in all cases to remove the IUD. The IUD was adherent to omentum or sigmoid in 10 cases. There is an increased risk of uterine perforation if the IUD is inserted postpartum during lactation and involution of the uterus. Therefore a painful IUD insertion and a missing string demand investigation of a partial or complete perforation.

    Keywords:
    BiologyContraception--complicationsContraceptive Methods--complicationsDiseasesEuropeExaminations And DiagnosesFamily PlanningFinlandGenital Effects, FemaleGenitaliaGenitalia, FemaleInsertionIud, Copper Releasing--complicationsIud--complicationsNorthern EuropePainPerforationsPhysical Examinations And DiagnosesPhysiologyPostpartum WomenPuerperiumReproductionScandinaviaSigns And SymptomsTreatmentUrogenital EffectsUrogenital SystemUterine EffectsUterine PerforationUterus

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