Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Intrauterine devices.

  • Comment

VOL: 101, ISSUE: 45, PAGE NO: 33

Generic and proprietary names


Generic and proprietary names
- Flexi-T 300.



- Gynefix.



- Multi-Load Cu 375.



- Nova T 380.



- T-Safe 380 A.



- Induces a sterile inflammatory response that causes changes to the composition of uterine and tubal fluids, reducing the viability of both sperm and ova, making fertilisation unlikely.



- Contraceptive devices.



- Contraception in older women who have had children.



- Emergency contraception.



- Pregnancy.



- Severe anaemia.



- Sexually transmitted infection.



- Unexplained uterine bleeding.



- Structural uterine abnormality.



- Genital malignancy.



- Pelvic inflammatory disease.



- Copper devices - copper allergy.



- Anaemia.



- Menorrhagia.



- Endometriosis.



- Severe primary dysmenorrhoea.



- A history of pelvic inflammatory disease.



- Previous ectopic pregnancy.



- Diabetes.



- Fertility problems.



- Nulliparous women.



- Young age.



- Valvular heart disease.



- Anticoagulation therapy.



Common side-effects
- Menorrhagia.



- Dysmenorrhoea.



- Pain on insertion.



- Expulsion or displacement.



Rare side-effects
- Perforation of the uterus.



- Infections are a little more common in IUD users.



- Ectopic pregnancy.



- Usually inserted at the end of a period and before estimated time of ovulation.



Nursing considerations
- The risk of infection in the first 20 days following insertion is thought to be related to existing carriage of sexually transmitted infection. Therefore, prescreening is recommended.



- IUDs should not be removed mid-cycle unless additional contraceptives have been used for the previous seven days.



- Pain on insertion can be alleviated by taking a non-steroidal anti-inflammatory drug 30 minutes before insertion.



- Occasionally epileptic seizure or vaso-vagal attack on insertion.



- Gynaecological examination before insertion, six to eight weeks after, then annually.



- Insertion of an IUD is more effective as emergency contraception than hormonal methods and can be undertaken up to five days after unprotected intercourse. Testing for sexually transmitted infection and performing antibacterial prophylaxis is important.



Patient teaching
- The importance of seeking urgent medical attention for sustained pain in the first 20 days following insertion should be emphasised.



- Patients should be taught to check for threads after each period. If these are not found, they should seek medical attention and use an alternative form of contraception until the IUD has been located.



- It is safe to use tampons with an IUD in situ.



Nurses should refer to manufacturer’s summary of product characteristics and to appropriate local guidelines

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.