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
an infection.
- 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.
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