  
    These are devices that are placed in the uterine cavity and are ideal
    for long term contraception (2 to 5 years). They are ideal for women after they have had
    one or more children. Special Progsterone containing IUDs can be left for even 10 yrs. 
    HOW DO IUDS ACT? 
    They act by immobilizing the sperms, thus preventing them from joining with the ovum (egg). They
    also cause changes in the lining of the uterus and
    prevent implantation of the fertilized egg.  
    WHEN SHOULD THE IUD BE
    INSERTED?  
      - Six weeks after child birth 
 
      - Immediately after or within 3 weeks of spontaneous or induced first trimester abortion 
 
      - Any time of menstrual cycle if
        pregnancy is ruled out. Ideally it should be within one week of menses as the mouth of uterus is
        slightly open, facilitating insertion.
 
      - Within 5 days of unprotected intercourse for emergency contraception. 
 
      - One should learn to feel the strings of Cu-T, which should be felt after each menstrual cycle as it can at times
        slip out unnoticed in the toilet etc. 
 
     
    WHO SHOULD NOT USE IUD? 
      Infection of the genital tract 
      Known or suspected pregnancy
      Not recommended for women who have not borne children
      Menorrhagia
      Severe Dysmenorrhoea 
    
    SIDE - EFFECTS  
      - Spotting, bleeding, anemia 
 
      - Cramps 
 
      - Automatic expulsion of the IUD - partial/ complete 
 
      - Pregnancy 
 
      - Uterine perforation 
 
      - Pelvic inflammatory disease 
 
     
    CONTACT YOUR
    DOCTOR IMMEDIATELY
    If you have an IUD and feel any of the following:
       Pain - abdominal both upper & lower 
      No periods or abnormal spotting 
      Infection exposure 
      Nausea 
      IUD string is can not be felt
    
    
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