IUD (INTRA UTERINE IUD (INTRA UTERINE DEVICE)DEVICE)

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The IUD is one of the safestfamily planning methods, accordingto estimates of annual death ratesamong US women using variousfamily planning methods or nomethod

CounselinCounselingg

Counseling is an essential part of every

family planning provider's role

Informative and empathetic counseling helps clients make the best choice of a

contraceptive method and helps them use

the method safely, effectively, and with

satisfaction

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InsertioInsertionn

Proper IUD insertion reduces the risks of pregnancy and of all major side effects

IUDs can be inserted safely at anytime during the menstrual cycle

Cervical infections should be treated before the insertion

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Insertion Insertion TechniqueTechnique

o Explaining the procedures

o Infection-prevention procedure

o Speculum examination and bimanual pelvic examination

o Sounding of the uterus

o Careful and slow technique

o IUD placement high in the uterus

o Following the manufacturer's instructions

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Timing of InsertionTiming of Insertion

IUD insertion is safe and effective at any time during the menstrual cycle

no advantage to the conventional practice of insertion during the first five days of the menstrual cycle

the best time to insert an IUD is when she comes to the health center to request it, if reasonably sure that a woman is not pregnant

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RRemovalemoval

IUD removal is usually a routine and uncomplicated procedure

can be done at any time during the menstrual cycle

less than 2% of attempted removals of standard lUDs proved to be difficult

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IInfectionnfection Overall, women using lUDs are about

twice as likely to develop pelvic inflammatory disease (PID) as women using no contraception

This increased risk of PID is largely concentrated in the first 3 weeks after insertion and is due to poor infection prevention during insertion

Thereafter, the risk is among women exposed to STDs

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n Use long-lasting lUDs and do not remove them unless a woman requests removal, complications develop, or the IUD reaches the end of its effectiveness

n Antibiotics just before IUD insertion are not shown to reduce pelvic infection in the first months of use

n Antibiotics should not be seen as a substitute for good infection-prevention procedures

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