Cervical perforation by an intrauterine device after methylergometrine maleate administration

: A 29-year old, gravida 2, para 2, presented with colicky lower abdominal pain and vaginal bleeding. A Saf-T-Coil had been inserted 8 months previously. Due to menometrorrhagia, she was treated wtih methylergometrine maleate (Methergin), 0.125 mg thrice daily for from 2 weeks until 1 week prior to admission. Examination revealed perforation of the posterior cervical lip by the vertical limb of the IUD. The purpose of the presentation is to alert physicians to the possible etiologic role of Methergin in this complication. (author's)