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A 25-year-old female asked:

What are symptoms of uterine perforation or embedment with mirena (levonorgestrel) iud 1 year after insert. what would this show up as on transvaginal ultrasound?thanx

1 doctor answer1 doctor weighed in
Dr. Paul Velt
Diagnostic Radiology 43 years experience
Pain and discharge: Perforations of the uterus are usually painful. On the sonogram the problem will become evident as there is no IUD found within the uterus. There may be signs of air or even infection. A standard X-ray of the abdomen would be needed to locate the device. Hope that is not what has happened
Last updated Nov 19, 2018

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