The website is launched on 29 June 2018

Long Acting Reversible (LARCs)

Intra uterine devices (IUD or IUCD)

Practical Procedures for IUCD Insertions

  • Bimanual pelvic examination is ESSENTIAL on all women prior to IUCD insertion
  • HOWEVER, no evidence to suggest that cervical cleaning prior to IUCD inserion reduce subsequent pelvic infection
  • Sterile gloves is recommended
  • Use of tissue forceps and uterine sound are also recommended

Managing Problems Associated with IUCD

  • Unscheduled bleeding:
  • STIs
  • concurrent gynae causes
  • pregnancy
  • For LNG_IUS: Bleeding is common in the initial months and commonly settles without treatment, otherwise COC can be tried up to 3 months
  • For Cu- IUCDs: NSAIDs can be considered and if ineffective, Tranexamic Acid
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