Sunday 24 November 2013

IUCDs- When to consult doctor & complications

When to visit a doctor after insertion of IUCD:
When the patient is having missed menstrual period.
When she got exposed to STDs. When the strings are missing or the strings seeming shorter or longer than before.
Increased pain and bleeding bothering the patient.
When she wants removal of the device at any time.
When she wants go for other method of family planning.

Complications of IUCD'S:
Increased bleeding is seen in – 50% of cases.
Pain: is the one of the most common cause of IUCD removal. Expulsion is seen in – 2-8% of cases in the first year.
Vaginal discharge: sometimes foul smelling troublesome vaginal discharge can occur. A cute
 and chronic salpingo-oophoritis noted in – 1% of cases.
Perforation seen in – 1.2/1000 insertions.
Infections like – actinomycosis, endometritis etc can occur. Pregnancy rate is – 2% in 1st year, but later it can increase.
Ectopic pregnancy(ovarian ) seen in – 0.25-1.5/1000 women years.

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