Copper IUD Flashcards
1
Q
Indication
A
Within 5 days of unprotected sex
But if sex was > 5 days previously, it can still be inserted up to 5 days after the earliest likely calculated ovulation
2
Q
Mechanism
A
Inserted vaginally
Prevents fertilisation
3
Q
Effectiveness
A
> 99% (most effective)
4
Q
CI
A
Pregnancy Pelvic infection / PID < 3 months Gynae cancers Small uterine cavity Copper allergy
5
Q
Side effects
A
Pain on insertion (ibuprofen) Infection Menorrhagia / dysmenorrhea Peforation 1 in 1000 Expulsion 5% Vasovagal 1 in 10
6
Q
Extra information
A
Can be used as long term contraception or removed after 4 weeks
Check up 6 weeks after insertion
