In more extreme cases, the patient may require either a:
- Laparotomy, a C-section type procedure to remove the broken IUD pieces, and/or
- Hysterectomy, which is the removal of the uterus and causes permanent infertility
And in some cases, doctors are unable to find the pieces at all. These pieces may then become embedded in the uterine wall (myometrium) or travel. This could lead to such serious complications and adverse events as:
- Severe menstrual pain, cramping, heavy bleeding, and spotting,
- Inflammatory reactions (pelvic inflammatory disease),
- Organ perforation, uterine rupture, and other organ damage, and/or
The breakage of the IUD arms typically occurs when the doctor is removing the device. But in some women, the arms break off long before the IUD gets explanted.