Long Acting Reversible (LARCs)
Intra uterine devices (IUD or IUCD)
- Women should be advised of the very low failure rate associated with the use of IUCDs
- The most effective being Levonorgestrel intrauterine system ( LNG-IUS) and the T shaped copper IUCDs with at least 380mm square copper and copper bands on the transverse arms
When can IUCDs be safely inserted?
- A copper IUCD is effective immediately after insertion
- It can be inserted at any time of the menstrual cycle if its reasonably certain the woman is not pregnant
- Timing of insertion of a Copper IUCD did not have any significant effect on continuation, pregnancy & expulsion or bleeding and pain during insertion.
- Copper IUCD can also be inserted as Emergency Contraception within 120 hrs of UPSI or up to 5 days after the earliest estimated date of ovulation.
- LNG -IUS can be inserted up to Day 7 of the menstrual cycle and any later insertions will require additional contraceptive precautions for 7 days
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