An intrauterine device (IUD) is a form of birth control that is inserted into the uterus. While IUDs are generally considered safe and effective, there is a small risk of perforation, which occurs when the IUD punctures the uterine wall and enters the abdominal cavity. IUD perforation is a serious complication that requires immediate medical attention. In this blog post, we will discuss the symptoms of IUD perforation and what you should do if you experience them.
What Is IUD Perforation?
IUD perforation refers to a rare but serious complication that can occur when an intrauterine device (IUD) punctures the uterine wall and enters the abdominal cavity. An IUD is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. While IUDs are a safe and effective form of birth control, there is a small risk of perforation. If the IUD perforates the uterine wall, it can cause severe pain, bleeding, and infection. Prompt medical attention is necessary to prevent further complications.
Symptoms of IUD perforation may include severe pain, missing IUD string, abnormal vaginal bleeding or discharge, or abdominal bloating. An ultrasound is usually performed to determine if the IUD has perforated the uterus. Treatment for IUD perforation may include removal of the IUD and monitoring for complications. It is important to be aware of the symptoms of IUD perforation and to seek medical attention immediately if you experience any of them.
Symptoms of IUD Perforation
Severe Pain
One of the most common symptoms of IUD perforation is severe pain. This pain may be located in the lower abdomen or pelvis and may be accompanied by cramping or discomfort. You may also experience pain during sexual intercourse. If you experience severe pain after inserting an IUD, it could be a sign of perforation.
Missing IUD String Is One Of The Symptoms of IUD Perforation
The IUD string is a small, thin piece of thread that hangs down from the cervix. It is used to check the position of the IUD and to remove it when it is no longer needed. If you cannot feel the IUD string, it may have perforated the uterine wall and moved out of place. This is a serious issue that requires medical attention.
Vaginal Bleeding
Light spotting or bleeding is common after getting an IUD inserted, but if you experience heavy bleeding or bleeding that lasts longer than a few days, it could be a sign of perforation. You may also experience bleeding during sexual intercourse. If you experience abnormal vaginal bleeding after getting an IUD, it is important to seek medical attention.
Abnormal Discharge Is One Of The Symptoms of IUD Perforation
If you experience unusual vaginal discharge, such as a foul odor or unusual color, it could be a sign of infection related to IUD perforation. This may also be accompanied by fever and chills. If you experience these symptoms, seeking medical attention right away is important.
Abdominal Bloating
If you experience abdominal bloating, it may be a sign that the IUD has perforated the uterus and is moving around in the abdominal cavity. This may also be accompanied by nausea and vomiting. If you experience these symptoms, seeking medical attention right away is important.
In conclusion, IUD perforation is a rare complication, but it is important to be aware of the symptoms and to seek medical attention if you experience any of them. If you experience severe pain, missing IUD string, abnormal vaginal bleeding or discharge, or abdominal bloating, it is important to seek medical attention right away. Your healthcare provider will perform an ultrasound to determine if the IUD has perforated the uterus and will take appropriate measures to treat the complication.
What to Do If You Experience Symptoms of IUD Perforation

If you experience symptoms of IUD perforation, it is important to seek medical attention immediately. IUD perforation is a serious complication that requires prompt medical attention to prevent further complications. Now we will discuss in detail what you should do if you experience symptoms of IUD perforation.
Contact Your Healthcare Provider
If you experience any symptoms of IUD perforation, such as severe pain, missing IUD string, abnormal vaginal bleeding or discharge, or abdominal bloating, contact your healthcare provider right away. Explain your symptoms in detail and ask for an appointment as soon as possible. If you cannot reach your healthcare provider, go to the nearest emergency room.
Get an Ultrasound
When you see your healthcare provider, they may perform an ultrasound to determine if the IUD has perforated the uterus. An ultrasound uses sound waves to create images of the inside of the body. This can help your healthcare provider determine if the IUD is in the correct position or if it has perforated the uterine wall and entered the abdominal cavity.
Remove the IUD
If the IUD has perforated the uterus, your healthcare provider may need to remove it immediately. In some cases, you may require surgery to remove the IUD. Your healthcare provider may give you a local anesthetic to numb the area before removing the IUD. After removing the IUD, your healthcare provider will check to make sure that there are no pieces of the IUD in the uterus.
Monitor for Complications
After removing the IUD, your healthcare provider will monitor you for complications. IUD perforation can cause infection or damage to surrounding organs, such as the bladder or bowel. Your healthcare provider may prescribe antibiotics to prevent or treat the infection. They may also recommend follow-up appointments to make sure that there are no further complications.
In conclusion, if you experience symptoms of IUD perforation, it is important to seek medical attention immediately. Your healthcare provider will perform an ultrasound to determine if the IUD has perforated the uterus and will take appropriate measures to treat the complication. Remember to regularly check for the IUD string and to report any abnormal symptoms to your healthcare provider. IUD perforation is a rare complication, but it is important to be aware of the symptoms and to seek medical attention if you experience any of them.