A 27-year-old woman develops a uterine perforation during Cu-IUD insertion. The perforation is recognised at the time of the procedure. What is the re...

Question

A 27-year-old woman develops a uterine perforation during Cu-IUD insertion. The perforation is recognised at the time of the procedure. What is the recommended management?

Accepted Answer

Stop the procedure, remove the device if possible, observe the woman, and refer to secondary care if there are signs of intra-abdominal injury

Answer

Complete the insertion and leave the Cu-IUD in situ

Answer

Proceed with the insertion under ultrasound guidance

Answer

Discharge the woman with oral antibiotics

Answer

No action is needed if the woman is asymptomatic

uk-dfsrh MCQ (SBA): Recognised Uterine Perforation at IUC Insertion

A 27-year-old woman develops a uterine perforation during Cu-IUD insertion. The perforation is recognised at the time of the procedure. What is the recommended management?