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Follow-up after insertion of an IUCD

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Routine follow-up

  • at 3-6 weeks to check threads and exclude perforation
  • return if problems or time for removal; no further follow-up needed

At first follow-up visit exclude infection, perforation or expulsion

Intrauterine device (IUD) only: For heavier and/or prolonged bleeding associated with use of an IUD:

  • treat with non-steroidal anti-inflammatory drugs and tranexamic acid
  • or suggest changing to the IUS if the woman finds bleeding unacceptable

If Actinomyces-like organisms are seen on a cervical smear, assess for pelvic infection, and remove the IUD or intrauterine system (IUS) (Mirena coil) if there are signs of infection

If a woman becomes pregnant with an intrauterine pregnancy, advise removal of the IUD or IUS before 12 weeks' gestation, whether or not she intends to continue the pregnancy

Reference:

  1. NICE (2014). Long-acting reversible contraception

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