IUCD What it is Small flexible plastic T device wrapped in copper wire that is placed in the uterus Mechanism of Action of Copper IUDs Prevents sperm from meeting the egg by changing the uterine environment ID: 911572
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Slide1
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Intrauterine
Contraceptive Device
(IUCD)
Slide2What it is
Small, flexible, plastic "T“ device wrapped in copper wire that is placed in the uterus
Slide3Mechanism of Action of Copper IUDs
Prevents sperm from meeting the egg by changing the uterine environment
Impairing the viability of the sperm
IUCD does NOT cause abortion
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Source: Ortiz, 1996.
Slide4Who Can Use Copper IUDs
Women of any age and parity
Women with medical conditions eg hypertension, heart disease, diabetes, Deep Venous Thrombosis (DVT)
Immediately after a delivery
Slide5Who Should Not Use Copper IUDs
High individual risk of STIs, AIDS
pregnancy;
When there is infection at the time of initiation;
Puerperal sepsis
Post abortion sepsis;
Pelvic inflammatory disease
Cervicitis
Pelvic tuberculosis
Unexplained vaginal bleeding
Endometrial or cervical cancer or ovarian cancer
Slide6Advantages
Highly effective and safe
Does not interfere with intercourse
Easy to use
Long lasting (can be used for upto 12 years)
Easily reversible and quick return to fertility
No systemic effects
Can be removed any time if you want to get pregnantDoes not cause infertility
Source: CCP and WHO, 2007.
Slide7Disadvantages
Side effects, including cramping and increased or prolonged bleeding in the first few months after insertion
Rare complications include perforation and pelvic inflammatory disease
Insertion and removal require trained provider
Does not protect against STI/HIV
Source: CCP and WHO, 2007.
Slide8Timing of IUD Insertion
Interval insertion
Anytime during menstrual cycle if woman is not pregnant
Postpartum insertion
Immediately after vaginal or cesarean delivery if no infection or bleeding (within 48 hours)
Insertions after abortion
Immediately if no infection
Slide9IUD Use and Follow-up
Schedule follow-up visit at:
3 to 6 weeks (or during menses)
Counsel on side effects including signs of complications that require immediate return to the clinic)
Slide10Dispelling IUD Myths
Are not abortificients
Do not cause infertility
Do not cause discomfort for the male partner
Do not travel to distant parts of the body
Are not too large for small women
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