Doctor insights on:
Symptoms Of Uterine Perforation
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
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 ...Read more
When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy ...Read more
Uterine trauma: When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy electrode requires abdominal exploration. ...Read moreSee 1 more doctor answer
Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read moreSee 1 more doctor answer
Very low: Uterine perforation is a potential complication of placement of an iud. Once properly placed, the iud is not likely to move. Perforation rates may be as low as <1% for a very experienced physician who places iud's frequently. Ultrasound before and after placement will virtually eliminate the risk, as any improperly placed iud will be detected and can be corrected immediately. ...Read more
Very low: This procedure very seldom causes any perforation of the uterine wall. ...Read more
Varied: Uterine perforation symptoms range from none to increased cramping , severe lower abdominal pain, heavy vaginal bleeding, fever, dizziness, faintng. If you are having any of the more severe symptoms, please contact your doctor. Also, asking your doctor if there were any surgical complications may be helpful. ...Read more
My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement.Has she been misdiagnosed?
See answer: Without knowing all the details it's not possible to give specific advice other than: Speak with her physician. Is she on Hospice care? If not, it may be helpful. Write down a list of questions you would like answers to. Her physician should be able to give reasonable answers. Knowing a family member is involved helps to keep physicians particularly attentive to your moms care . ...Read more
Though it is rare, what causes progestin IUDs to fail in place within the uterus without perforation or expulsion?
No specific cause: IUD are very effective at preventing pregnancy but it only takes one sperm to fertilize an egg. Progesterone IUD have multiple mechanism of actions which is why they are so effective. That being said failures still occur as human reproduction can be hard to stop. This is how humans evolved. Permanent birth control via tubal ligation, Essure or vasectomy have the lowest ( but not 0) failure rates. ...Read more
How common is perforation or embedment of uterus from Mirena (levonorgestrel) really? Are the horror stories I have read just psyching me out?
One in 1000: The incidence of uterine perforation is about 1 in 1000. If a perforation does happen, the IUD can migrate into the abdomen and may need to be retrieved with laparoscopic surgery. The embedded IUDs I have seen are in women who have left the IUD in for 20 years--way longer then recommended. Its not common. Best wishes! ...Read more
What are the symptoms of a colonoscopy micro-perforation? How is it diagnosed, and does it require intervention ?
Microperforation: Though uncommon, this is not a rare problem associated with a very common and important procedure. Pain within a few hours, sometimes with fever, is an indication. Free abdominal air on a plain film is adequate to make the diagnosis. Usually, bowel rest and antibiotics will suffice, but occasionally surgical intervention will be necessary. Good luck. ...Read more
What are symptoms of rectal perforation? I've been bloated and have the urge to burp(let out gas) but i feel like i cant(although i manage sometimes).
Not perforation: Bloating is due to too much gas in stomach possibly related to diet or swallowing of large amts of air. Rectal perforation infers there is trauma to the rectum causing damage to the wall with free drainage into the pelvis. Otherwise trauma from manipulation with a colonoscope can cause peroration into the bladder in a male or vagina of a female or other loops of bowel.Surgery needed for repair. ...Read more
- Talk to a doctor live online for free
- Uterine perforation
- Herbal treatment for uterine perforation
- Home remedies for uterine perforation
- Ask a doctor a question free online
- What is the best treatment for uterine perforation?
- Symptoms of perforation after colonoscopy
- Colonic perforation symptoms
- Bowel perforation symptoms
- Talk to a gynecologist online for free