I don't know why you weren't told it. I read up a TON before i had mine fitted (had DD in April, weaned in November, had Mirena fitted 2 days before Christmas) but they still told me all the stuff i already knew again and they asked me among other things if i was nursing still and how old DD was and how the birth had gone etc. etc. Did they know you were BFing? Did they ask? Had AF returned?

You might not be able to get a case for the perforation (it can happen sometimes and being recently Post Partum and BFing make it a greater risk) but you should be able to be compensated for the fact that they failed to mention it. Even if they just change procedure to make sure EVERY woman is informed of this possibility beforehand that would be a triumph.

In terms of my own research i would definitely have Mirena put in again after my next baby (unless we plan to ttc again within 12 or so months) BUT i would wait until 12 weeks and use another method if AF had returned already (my AF came back at 6 weeks PP with DD, despite fully breastfeeding her on demand ). By 12 weeks the uterus of PP women is much more stable and everything is back the way it was before.

Overall i'm pretty happy with Mirena and would far rather use it than either of us be sterilised once our family is complete, but it isn't without risks. I'm so sorry this happened to you. On the plus side the earlier the perforation is detected and treated (not just in terms of getting it out, but most importantly the giving of antibiotics, which halt infection - infection is what threatens fertility) the less likely it is to affect future fertility and pregnancies. I know a woman on another board who got it fitted after #4, then split from her DH and didn't have sex for 4 years. When she went to get it removed at the 5 year mark they couldn't find it - it was in her KIDNEY and had been there, giving the level of calcification round it, for about 4 years, so since she'd had it basically! I'm glad your perforation has been discovered so quickly and i hope once it's out your complications are finished with.

Bx