Uterine perforation has long been regarded as a complication of the inserti
on of an intra-uterine contraceptive device (IUD). The development of moder
n devices with sophisticated insertion systems as well as advanced training
requirements seeks to minimise the risk of adverse insertion incidents for
women choosing intrauterine contraception. This case report highlights the
continuing need for intra- and post-insertion vigilance as even recent adv
ances in IUD technique and technology do not guarantee risk-free insertion.