Courses
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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