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Contraception - Management
When might uterine perforation be suspected, and what should I do?
- If uterine perforation at insertion is suspected, the procedure should be stopped and vital signs and the level of discomfort monitored until stable.
- Uterine perforation should also be considered if a woman returns within the first few days of insertion complaining of marked pain (which may only be intermittent), and the threads cannot be located.
- Urgent and specific follow-up should be arranged to include ultrasound scan and/or plain abdominal X-ray to locate the device if it has been left in situ.
In depth
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