Publication:

Asymptomatic presentation of silent uterine perforation by Cu-T 380A: a case report with review of literature

Copper containing intrauterine contraceptive device are used worldwide and considered to be safe, effective, reversible and long term method of birth control. While IUCDs are tolerated well by most of the women, they are also associated with adverse effects like bleeding and dysmenorrhea. Uterine perforation during Cu-T insertion is one of the rarest complications and 30% of which are asymptomatic and can be presented with serious complications if not diagnosed early. This complication can be avoided if proper techniques are used by gynaecologists and health professionals. Education and counseling of the women about feeling the IUCD string after every menstrual cycle and post insertion of IUCD is equally important to facilitate the early detection of misplaced IUCD to prevent serious complications like uterine perforation.