A rare case report on uterine perforation by levonorgestrel releasing intrauterine device

Authors

  • Vijaykumar C. R. Department of OBG, Dr. B. R. Ambedkar Medical College, Bangalore, Karnataka, India
  • Asha C. Department of OBG, Dr. B. R. Ambedkar Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20230554

Keywords:

LNG-IUD, Uterine perforation, Contraception, Intrauterine device, Levonorgestrel

Abstract

A levonorgestrel-containing intrauterine contraceptive devices are widely used in contemporary gynaecology, primarily as an effective method for contraception and for control of menstrual disorders like menorrhagia and dysmenorrhea. A case report of the uterine perforation by the levonorgestrel-releasing intrauterine device (LNG-IUD) in a 33-year-old asymptomatic woman after an 18-month of insertion. On routine cervical smear examination, the LNG-IUD threads were not visualised through the cervical os. After abdominal ultrasound scan the confirmation of perforated LNG-IUD was done and was removed laparoscopically.

References

Trussell J, Guthrie K. Lessons from the contraceptive CHOICE project: the Hull long-acting reversible contraception (LARC) initiative. J Fam Plann Reprod Health Care. 2015;41(1):60-3.

Barnett C, Moehner S, Minh T, Heinemann K. Perforation risk and intra-uterine devices: results of the EURAS-IUD 5-year extension study. European J Contracept Reproduct Health Care. 2017;22(6):424-8.

World Health Organization (WHO); Johns Hopkins Center for Communication Programs (CCP), knowledge for health project. Family planning: a global handbook for providers. 3rd ed. Baltimore and Geneva: CCP and WHO; 2018.

Reinecke I, Hofmann B, Mesic E, Drenth HJ, Garmann D. An integrated population pharmacokinetic analysis to characterize levonorgestrel pharmacokinetics after different administration routes. J Clin Pharmacol. 2018;58(12):1639-54.

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Published

2023-02-27

Issue

Section

Case Reports