Myrena Coil: A 40 pound weight loss is not consistent with a perforation, although it could have happened. Such a perforation can cause scarring and infection, but unless you have not been eating for weeks because of constitutional symptoms such as fever, fatigue, and loss of appetite due to an overwhelming infection, you should immediately contact your doctor to follow up. Your gyn can also check perforation.
Answered 9/16/2013
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