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Perforation with the GyneFix® intrauterine implant: is there a common factor?
  1. Thomas R Aust, MB ChB, Research Fellow1,
  2. John N Kirwan, MRCOG, Macmillan Fellow1,
  3. J Jonathan O Herod, BSc, MRCOG, Consultant Gynaecological Surgeon and Oncologist1 and
  4. James T McVicker, MRCGP, MFFP, Associate Specialist2
  1. Department of Gynaecology, Liverpool Women's Hospital, Liverpool, UK
  2. Abacus Centre for Contraception and Reproductive Health, Liverpool, UK
  1. Correspondence Dr T Aust, Reproductive Medicine Unit, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK. Tel: +44 (0) 151 708 9988. E-mail: tomaust{at}


This report describes an asymptomatic perforation with the GyneFix® intrauterine contraceptive implant. A review of all other reports of this complication has been performed. Analysis of these reports suggests prolonged amenorrhoea secondary to continuous progestogen use as a possible common predisposing factor.

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