Evaluation and Management of Intrauterine Device (IUD) Complications in Ethiopia

In this study, missing IUD (with uterine perforation diagnosed in 10 out of 12 patients) was the most common complication, occurring in close to half of the study participants. Ultrasound should be routine in evaluation of missing IUDs, and laparoscopy should be considered the gold standard for extrauterine removal, even in low-resource settings (patients with such serious complication should be referred to centers that have this capacity).