Managing Side Effects for IUDs | Toolkits


Doing simple things well is an excellent border on to managing IUD side effects. This means inform women about what side effects to expect, reassuring that common non-harmful slope effects are indeed not harmful, treating common side effects with simple drugs when needed, and encouraging women to return whenever they has questions or concerns. The woman ‘s confidence that her IUD use is condom and effective, and that her provider is competent and reactive are keys to achiever. She should besides be urged to return for side effects that could be harmful, particularly signs of pelvic incendiary disease or pregnancy. information should be clear, discipline non-alarming, and presented in verbal and written shape. thoroughly management of side effects will lead to many women being satisfied with their method acting and this success will spread to neighbors and the community .

Common practices to use and those to avoid in managing IUD side effects

Brief, clear descriptions of the most common side effects-before the IUD is inserted-reduces complaints and makes management easier. The most critical messages before insertion admit :

  • Heavier and longer menstrual bleeding is expected with copper IUDs-this usually becomes less over time
  • Cramping may occur in the first several days
  • Bleeding between menses may occur in the first few months of use. 

These and other messages should be provided in write and verbally. When non-harmful side effects occur, written information will help reassure her and her syndicate. spell information should besides include uncommon harmful side impression, to urge prompt return when aesculapian treatment is needed .
Deal directly with any local misperceptions about IUDs, such as “ IUDs lawsuit sterility ”, “ IUDs will migrate in the body ”, “ IUDs are abortifacients ”.

Show the IUD to the womanhood, including how it will fit into the uterus by using a model or simply the woman ‘s close hand ( as a simple substitute for a uterine model ) .

Timing can reduce insertion pain, cramping and bleeding

Postpartum IUD insertion at 4-6 weeks after pitch is easily for the womanhood and her provider. First, there is little pain during insertion and less cramping after insertion, ascribable to the more open cervical canal and enlarged uterine cavity. Second, complaints about bleeding are minimal, since breastfeeding women have little or no bleed for several months .
Postabortion insertion, immediately after evacuating the uterine pit, will besides reduce discomfort with interpolation .
Ibuprofen or other non-steroidal analgesics ( NSAIDS ) can be used to reduce cramping in the beginning few days. Some providers may give a small advance add, to be used if the womanhood has pain. Ibuprofen can besides be selectively used to reduce heavy menstrual ( see below ).

Common changes in menstrual bleeding

Most complaints about heavier or longer menses are effective managed by reassurance. Heavier periods may be particularly obtrusive for women changing from combined oral contraceptives and other hormonal methods that reduce menstrual bleed. When reassurance is not sufficient, or the bleed is particularly heavy, a short path of ibuprofen during menses may reduce bleeding. A short-change course can be repeated in respective months, but it is not desirable to use for an drawn-out period. Iron tablets may be given to reduce chances of anemia. Both interventions help the supplier be actively responsive to the charwoman ‘s concerns. many women adjust to having slightly heavier menstruation, and the come of bleeding normally becomes less over respective months .

Checking that the IUD is still in place

Inform the woman that about 3 % of IUDs will be expelled, normally in the first few months. She can detect this by checking the string and besides being mindful of an extrusion that may occur at the time of menses or during a intestine campaign. routine string checks are frequently not practical after the first few months, and some women avoid checking the string at all. The supplier will besides check the string at 3-6 weeks after interpolation. The huge majority of IUD expulsions will be detected by the woman if she checks herself during menses and when at the toilet .
If an IUD has been expelled, a new one may be reinserted immediately if it is reasonably certain she is not meaning. A second base IUD will remain in place for about 70 % of women .

Partner complaints about the IUD string

Partner complaints about aggravation from the string during sex should not be dismissed. Partner discomfort is a common cause of IUD discontinuance in numerous settings. One full solution is to cut the string at the open of the cervical canal ( os ) such that it does not protrude and so far can be grasped by a forceps for removal. The string can normally be grasped for removal without seeing it. Often the string can be visualized when the speculum is opened or the out canal is slightly opened by lightly spreading the blades of a forceps.

Inform the woman that she will nobelium longer feel the string and make a record of the string ‘s placement for future providers. This is important for removal. A string that does not protrude besides makes the IUD one of the most confidential methods, an important benefit for some .


Simply removing the IUD when park non-harmful side effects occur is a poor beginning option, unless the woman decidedly wants to discontinue or early measures are not acceptable .
bare measures permit fourth dimension to help manage side effects. Over fourth dimension, cramping subsides, bleeding patterns become more satisfactory, and the sum of menstrual run decreases. good management of side effects helps many women become quenched long-run users-the goal most intrauterine device acceptors want to achieve .

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