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Intrauterine device (IUD) inhibits fertilisation by direct toxicity. It is said to have both pre and post fertilisation effects.
An IUD (or advice on how to obtain one) should be offered to women who inquire about emergency contraception (EC) even if they present within 72 hours of unprotected sexual intercourse (1).
It is possible to insert a copper intrauterine contraceptive device (IUCD) within 5 days of unprotected sexual intercourse as a method of emergency contraception; however, of note, is that it is also possible to insert a copper IUCD within five days of the earliest time of ovulation (i.e. day 19 of a 28-day menstrual cycle) as a form of emergency contraception (1)
Women should be informed to return 3 to 6 weeks after the insertion of the IUD to exclude infection, perforation or expulsion. Educated them about
There is no recorded evidence suggesting that concomitant drug use affects emergency IUD use (1). Therefore emergency IUD is the better option for patients on enzyme inducing drugs (2).
Contraindications for emergency IUD use is the same as routine IUD insertion (1).