Intra Uterine Devices

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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