During counseling, providers need to discuss the signs of possible
IUD complications with the client and advise her to return immediately
if any of the following signs or symptoms appear.
- Severe bleeding or abdominal cramping
during the first three to five days after insertion
This could indicate that the uterus or cervix may have been
perforated when the IUD was inserted, or it could indicate
- Irregular bleeding and/or pain in every
cycle This can indicate IUD dislocation or perforation.
- Fever and chills, or an unusual vaginal
discharge These can indicate an infection. This
is a concern especially during the first month after the IUD
is inserted since this is when PID, although rare,is most likely to develop.