History taking and Counseling: IUCD.
Introduction:
Questions to be asked before inserting IUCD:
How old are you?
Have you completed your family? How many children have you got?
Are the deliveries normal?
Menstrual history? LMP?
H/o ectopics? H/o fibroids?
When was your last cervical smear?
Have you been treated for any genital infection?
H/o heart disease, DM and Wilson's disease?
Are you on any medication?
IUCD is a small plastic and copper device with two soft threads on the ends. It is in the shape of the letter 'T'. It stops the sperm from reaching the egg. It prevents the egg from settling in the womb. The IUCD doesn't interfere with sex. It needs to be changed once in 3-5 years.
Disadvantages of IUCD: the periods may be heavier or longer or painful. There is a small chance of infection. In the first 20 days your womb may expel the IUCD out. There is a rare chance of perforation. If you do become pregnant (1%) there is the risk of an ectopic pregnancy. The IUCD doesn't protect against STD.
Follow up: immediately afterthe next period and then once every 6 months. Regularly feel for the tail. Come immediately to the hospital if the tail is lost, excessive bleeding, pain and fever.