The purpose of the webinar is to provide clinicians who are doing IUD placements with advanced skills to prevent and manage the uncommon complications that can occur with the placement and use of IUDs. It consists of case studies that detail the management of difficult IUD placements owing to cervical stenoisis, morbid obesity, and vasovagal syncope. Management of IUD complications, including uterine perforation, tenaculum site injuries, and post-IUD placement infection will be discussed. The work-up and management of the patient with a “missing” IUD string, including variants of malpositioned IUDs and intrauterine pregnancy with an IUD in place, are explained as well.
The following topics are covered in detail:
- Maneuvers that can be performed to improve the likelihood of successful placement in morbidly obese patients
- Techniques to avert vaso-vagal episodes and 4 sequential steps in the management of a vaso-vagal syncope
- The most common predisposing factors for uterine perforation with IUD placement
- Causes of a “missing” IUD string and how each is managed
- Management of post-IUD placement pelvic inflammatory disease
- Michael Policar, MD, MPH