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Pelvic Ultrasound Before Inserting IUD to Prevent Complications

There are many reasons to get the Mirena IUD.  Some ladies are tired of taking oral contraceptives.  Some ladies want reliable birth control that can stay in place for up to five years.  Others might be trying to help gynecological issues like heavy bleeding or Endometriosis instead of something more invasive.   Whatever the case, the Mirena IUD can be a great choice for many women. Unfortunately, if you do a web search for complications with the IUD, you’re going to read some horror stories.  Let’s talk about one of them; perforation.

Perforation occurs when the IUD moves out of place and migrates into the uterine wall.  This is a serious situation that requires immediate action.  It can cause bleeding, infection, or other serious problems if left untreated.  Most of the time, problems with IUD perforation stem from issues during insertion.  Here’s why:  the typical woman’s uterus is positioned at a slight angle, so the instruments used to help with insertion are curved appropriately.  But if a woman’s uterus sits straight or is curved the other way and the OB/GYN doesn’t know this, the IUD can be placed improperly leading to risk of complications like perforation.

This is why before we insert any IUD, we do an ultrasound of the patient’s pelvic area so we can see what angle her uterus sits at.  Doctors who do not perform a pelvic ultrasound beforehand are essentially going in blind and hoping for the best.

If you are considering an IUD, make sure you visit a doctor who will perform a pelvic ultrasound beforehand.  Don’t be afraid to ask questions, and don’t be afraid to call multiple doctors until you find the right one.


Posted in Birth Control, Endometriosis, Heavy Bleeding, Procedures

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