IUCD

An Intrauterine Contraceptive Device (IUCD) is a small, T-shaped device inserted into the uterus to prevent pregnancy. These are highly effective as long-lasting contraception. There are two main types:

• Copper IUCD: Releases copper to prevent sperm from fertilising eggs. Lasts up to 5-10 years.
• Hormonal IUCD (IUS): Releases progestin to thicken cervical mucus and thin the uterine lining. Lasts up to 3-8 years.

How It works

• Copper IUCD: Copper ions immobilize sperm and prevent fertilization.
• Hormonal IUCD: Progestin thickens cervical mucus (blocking sperm) and thins the uterine lining.

Insertion process

1. Timing: Often inserted during first few days of menstruation (when the cervix is softer and you are not pregnant).
2. Procedure:
   1. A healthcare provider gently inserts the IUCD through the cervix into the uterus.
   1. Takes 5–10 minutes; may cause brief cramping.
3. Aftercare:
   1. Mild cramping/spotting for a few days.
   1. Check strings monthly to ensure it’s in place and check by your doctor in 6-12 weeks.

Possible side effects

• Common:
  • Cramping or backache (first few days).
• • Irregular bleeding (especially with hormonal IUCD in the first 3–6 months).
  • Heavier periods (copper IUCD) or lighter/no periods (hormonal IUCD).
• Rare: Expulsion (device comes out), infection, or uterine perforation.

Frequently Asked Questions

Q: Does insertion hurt?
A: Discomfort varies; painkillers can help. Many describe it as strong period cramps.

Q: Can I use an IUCD if I’ve never had children?
A: Yes! IUCDs are safe for most people, including those without children.

Q: What if I want to get pregnant?
A: Simply schedule removal—fertility typically returns within weeks.

Q: Can the IUCD move or get lost?
A: Rarely. Check strings monthly and attend follow-ups.

Q: Is emergency IUCD insertion possible?
A: Yes! A copper IUCD can be inserted up to 5 days after unprotected sex.

eGynaecologist Advice

• Please contact your gynaecologist if you develop pelvic pain or fever and if you notice unusual vaginal discharge or don’t feel the strings after IUCD insertion.
• If you miss a period (previously regular periods) on hormonal IUCD, you must consult gynaecologist to rule out ectopic pregnancy, as this may require immediate care.