Perforation of levonorgestrel-releasing intrauterine system found at one month after insertion: A case report.

ABSTRACT:

Background

The levonorgestrel-releasing intrauterine system (LNG-IUS) is widely used in contraception, menorrhagia, dysmenorrhea and to prevent endometrial hyperplasia during estrogen supplementation. Perforation is more often seen after early postpartum placement. Perforation of the LNG-IUS occurring one month after placement is rare.

Case summary

A 42-year-old female complained of progressive dysmenorrhea and increased menstrual volume. She was diagnosed with adenomyosis and the LNG-IUS was inserted in her uterine cavity. Routine ultrasound examination one month later revealed that the intra-uterine device (IUD) was not found in the uterine cavity, and further X-ray and pelvic magnetic resonance imaging showed an abnormal signal area in the left posterior region of the ute

SUBMITTER: Zhang GR 

PROVIDER: S-EPMC9846966 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature