A rare case of perforating intrauterine contraceptive device

Sarita Singh, Saima ., Jagriti ., Rupali Dewan


The trends in the acceptability of contraceptives is globally shifting from permanent sterilisation to long acting reversible contraceptive (LARC). With the increasing use of IUCD, the knowledge of its common and rare complications has become pertinent. One of them is cervical perforation in which strings are mostly visible and hence it can be easily missed. Here we present a rare case of cervical perforation which was timely detected before it could have caused more damage. A patient complaining of IUCD associated pain should undergo thorough examination and a probability of perforation should be kept in differential diagnosis despite string visibility. A clinician has to be more vigilant about this rare complication to prevent damage to cervix and avoid unwanted pregnancy.


Cervical perforation, Cervical perforation with intrauterine contraceptive device, Copper T, Intrauterine contraceptive device complications, Long acting reversible contraceptives, Nabothian follicle

Full Text:



Peipert JF, Zhao Q, Allsworth JE. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011;117:1105-13.

Adolscents and long-acting reversible contraception: implants and intrauterine devices. Committee opinion No. 539. American college of Obstetricians and Gynecologists. Obstet Gynecol. 2012;120:983-8.

Hov GG, Skjeldestad FE, Hilstad T. Use of IUD and subsequent fertility- fallow-up after participation in a randomized clinical trial. Contracept. 2007;75:88-92.

Andersson K, Batar I, Rybo G. Return to fertility after removal of levonorgestrel-releasing intrauterine device and Nova-T. Contracept. 1992;46:575-84.

Trussell J. Contraceptive failure in the United States. Contraception. 2011;83(5):397-404.

Hatcher RA, Trussel J, Nelson AL. Contraceptive Technology. 19th revised. New York, NY: Ardent Media, 2007. Available at: Accessed on 14th September 2017.

Grimes DA. Intrauterine devices (IUDs). In RA Hatcher, eds., Contraceptive Technology, 19th ed. New York: Ardent Media. 2007;117-143.

Ovadia J, Reichman J, Godman JA. Secondary cervical perforation by the copper-T intrauterine device. Eur J Obstet Gynec Reprod Biol. 1979;9(6):403-4.

Koltan SO, Tamay AG, Yildirım Y. Chronic cervical perforation by an intrauterine device. J Chin Med Assoc. 2010;73(6):325-6.

Chauhan M, Guin G. An unusual cause of dyspareunia: secondary cervical perforation by post placental intrauterine contraceptive device. Int J Reprod Contracept Obstet Gynecol. 2015;4(3):881-3.