IUD (INTRA UTERINE

DEVICE)
The IUD is one of the safest
family planning methods, according
to estimates of annual death rates
among US women using various
family planning methods or no
method

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Counseling

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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Insertion

 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 Technique

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 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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Removal

 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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Infection
 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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