This case involves a 34-year-old woman who had just given birth to her second child. She presented to her physician shortly after delivery for sterilization options. After consultation, the physician inserted a Mirena IUD. However, the following year, the patient began to experience persistent cramps and abnormal bleeding. She presented to her physician who ordered a CT scan. The scan showed that the IUD’s right arm was extending outside the confines of the uterus and thus perforated the uterine body.
Question(s) For Expert Witness
- 1. Do you routinely treat patients like the one described above? How long have you been practicing in this capacity?
- 2. Have you ever had a patient develop the outcome / complications noted above?
Expert Witness Response E-000171
I routinely insert Mirena IUD’s. I also function as a consultant for a large practice of family physicians who send me problem gynecologist patients. Among the referrals are many IUD problems, including patients with perforated IUD’s. I have never experienced perforation in a patient in whom I personally inserted the IUD, but I have seen and managed a number of these cases.
Expert Witness Response E-058596
I am a generalist OB/GYN at an academic institution that is a large referral center where I am part of a team that manages many IUD complications. I routinely treat patients as described in this capacity for 9 years. I have not personally had a patient have a perforated IUD,but I have treated numerous patients who have presented to the clinic with this complication.