These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


PUBMED FOR HANDHELDS

Search MEDLINE/PubMed


  • Title: Perforation of the uterus by the copper-t and copper-7 intrauterine contraceptive devices.
    Author: Cederqvist LL, Lindhe BA, Fuchs F.
    Journal: Acta Obstet Gynecol Scand; 1975; 54(2):183-9. PubMed ID: 1169868.
    Abstract:
    Uterine perforation in patients wearing the Copper-T and the Copper-7 intrauterine contraceptive devices has been studied. In Bollnäs, Sweden, three perforations occurred in 1 156 insertions of the Copper-7, and in New York, USA, six perforations occurred in 1 153 insertions of the Copper-T. Cervical perforation seems to be a special feature of the Copper-T, while the Copper-7 tends to perforate through the uterine wall. The perforations can be divided into "primary" perforations, related to the insertion procedure, and "secondary" perforations, caused by uterine contractions. The diagnosis and treatment of uterine perforations by intrauterine devices is discussed. A study of uterine perforation by Copper-T and Copper-7 IUDs is described. 6 perforations out of 1153 insertions of the Copper-T at The New York Hospital-Cornell Medical Center in New York and 3 perforations out of 1156 insertions at the Bollnas Hospital in Sweden are described. This study indicates a high incidence of perforation. Design of the device has much to do with the risk of perforation. Risk seems to be less if the device conforms to the uterine cavity. Perforation is primary when related to the insertion procedure and secondary when caused by uterine contractions. The Copper-T tends to perforate the cervix and the Copper-7 tends to perforate the uterine wall. The diagnosis of uterine perforation with IUDs is difficult but important.
    [Abstract] [Full Text] [Related] [New Search]