Contraceptive Technology and Reproductive Health Series: Home Page Contraceptive Technology and Reproductive Health Series Back to FHI Website
Intrauterine Devices (IUDs)
Introduction Contents Post-Test References Go To Presenter Info

Goals

Section 1
Section 2
Section 3

- Introduction
- Objectives
- Reducing Risk
- Training
- Timing
- Prevention
- Insertion Steps
- Perforation
> Cramping
- Bleeding
- Strings
- Pregnancy
- STIs and PID
- Removal
- Discontinuation
- Hormonal

Summary

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Section 3 - Insertion Guidelines and Management Issues

Management of Cramping

Mild:

  • Recommend ibuprofen or other pain reliever

Severe or prolonged:

  • Examine for partial expulsion, perforated uterus or PID
  • Remove IUD if severe cramping is unrelated to menses or unacceptable to client

Slide 39


If mild cramping occurs only around the time of menses, the IUD user should be advised to use a pain reliever such as ibuprofen. If cramping is severe or continues after three months, it is important to examine the client for other problems. Severe or prolonged cramping may indicate a partially expelled IUD, a perforated uterus, or PID. If cramping is unacceptable to the client, the IUD should be removed.

 

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