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Copper-Bearing Intrauterine Devices (IUDs)

Copper-Bearing Intrauterine Devices (IUDs). Session I: Characteristics of IUDs. Copper T 380A. Copper IUDs: Objectives. Participants will: Describe the characteristics of copper IUDs in a manner that clients can understand

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Copper-Bearing Intrauterine Devices (IUDs)

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  1. Copper-Bearing Intrauterine Devices (IUDs) Session I: Characteristics of IUDs Copper T 380A

  2. Copper IUDs:Objectives Participants will: Describe the characteristics of copper IUDs in a manner that clients can understand Demonstrate how to screen clients for eligibility to use the copper IUD Describe when to start the use of the copper IUD Explain to clients insertion and follow-up procedures, and when to return Explain how to manage side effects Address common concerns, misconceptions, and myths Identify clients in need of referral for IUD-related complications. Demonstrate how to insert and remove the IUD on an anatomical model.

  3. IUDs: Key Points for Providers and Clients Copper IUD

  4. IUDs: Key Points for Providers and Clients Copper IUD

  5. Copper IUDs Copper IUDs have a small plastic frame with copper sleeves or wire around it TCu-380A, “Copper T” is most widely used copper IUD Multiload 375 is another copper IUD commonly available in some countries Copper T-380A Multiload 375

  6. Copper IUDs Effectiveness of IUDs In this progression of effectiveness, where would you place copper intrauterine devices (IUDs)? More effective Less effective

  7. Relative Effectiveness of Family Planning Methods

  8. IUDs: Mechanism of Action Prevents fertilization by: Impairing the viability of the sperm Interfering with movement of the sperm Source: Ortiz, 1996

  9. Copper IUDs: Characteristics • Safe and highly effective • Require no user action • Long-acting (up to 12 years) • Rapid return to fertility • No systemic effects • Have health benefits • Trained provider needed to insert and remove • Require pelvic exam • Possible pain or discomfort during insertion • Have potential side effects • Complications are rare, but may occur • Do not protect against STIs/HIV Source: CCP and WHO, 2011.

  10. Copper IUDs: Health Benefits IUDs are known to: Prevent risks of pregnancy Reduce risk of ectopic pregnancy Rate in IUD users is 12 in 10,000 (2 in 10,000 for Copper T380A) Rate in women using no contraception is 65 in 10,000 Help protect against endometrial cancer

  11. Possible Side-Effects Copper IUD If a woman chooses this method, she may have some side-effects. They are not usually signs of illness. After insertion: Other common side-effects: Longer and heavier periods Some cramps for several days Bleeding or spotting between periods Some spotting for a few weeks More cramps or pain during periods May get less after a few months

  12. Copper IUDs:Counseling about Side Effects Before insertion, describe common side effects: Heavier and/or prolonged menstrual bleeding Menstrual cramping Spotting between periods Explain that side effects: Are not signs of illness Usually become less within the first 3–6 months Encourage to come back with questions or concerns If client cannot tolerate side effects, treatment or discontinuation may be necessary

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