What are the complications associated with intrauterine contraceptive device (IUCD) insertion?
• Uterine perforation Perforation rarely occurs, partially or completely, at the time the device is inserted. The perforation rates for devices available in Canada are approximately 0.6 incidents per 1,000 insertions. Perforation is more likely to occur when the device is inserted post-partum. Post-partum insertion of an IUCD should be performed cautiously, and preferably by an experienced individual. IUCDs are too large to escape from the uterus through the fallopian tube. All perforations into the abdominal cavity occur through a tract in the muscular wall of the uterus. • PID Pelvic inflammatory disease (PID) related to IUCD use is limited to the first few months of use; IUCD-related PID is rare beyond 20 days after insertion. In the Women’s Health Study the relative risk of PID was 3.8 in the first month after insertion, reaching baseline risk after four months and remaining unchanged thereafter. Bacteriologic studies have shown that the endometrial cavity becomes temporarily conta
Related Questions
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