Uterine perforation can occur during medical procedures or with the use of an IUD, causing symptoms such as heavy bleeding and abdominal pain. Women with a history of abdominal surgery or C-sections are at higher risk. Treatment involves removal of the IUD or surgery to repair the damage.
Uterine perforation is a medical term that can be used to describe accidental puncture of the uterus. This typically occurs as a result of a medical procedure involving the uterus, although it can sometimes be caused by a contraceptive device known as an IUD or intrauterine device. The most common symptoms of uterine perforation include heavy bleeding, abdominal pain, and fever. Treatment usually involves removal of the IUD or surgery to repair the damage.
Common medical procedures that can lead to uterine perforation include childbirth, insertion of an IUD, or abortion. This type of injury is most common during delivery when the baby has to be rotated manually or if forceps are used. This damage can also occur during a tubal ligation, a sterilization procedure that provides a permanent form of birth control. An IUD, or intrauterine device, is a contraceptive device that is inserted into the body by a doctor.
Some women may have a higher risk of uterine perforation than others. Women at higher risk include those who have had a C-section in the past or who have had any type of abdominal surgery, especially surgery involving the uterus. Women who are breastfeeding at the time of a surgical procedure involving the uterus may also be at an increased risk of uterine perforation.
Uterine perforation can lead to lower abdominal pain and heavy bleeding. Nausea, vomiting, and fever can also indicate that the uterus has been damaged. A physical exam can help your doctor determine if a perforation has occurred, although further diagnostic tests may be done to confirm the diagnosis. If an IUD is the cause of the uterine damage, the doctor will likely remove it and help the patient find a different method of birth control while the body heals.
Most cases of uterine perforation will require some sort of surgery. If the uterus is the only organ that has sustained damage, the surgeon can usually repair the damage with relative ease. In some cases, the intestines may also be damaged. In that case, it may be necessary to remove part of the intestine and then reattach the healthy ends of the intestine. This type of surgery typically requires a longer recovery period, although it has a high success rate, and complications from this type of surgery are rare.
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