What follow-up is required after insertion of an intrauterine contraceptive device (IUCD)?
The woman should be advised to feel for the strings of the IUCD after her next menstrual period to exclude expulsion. A follow-up appointment may also be arranged following the woman’s next period. The woman should be encouraged to use barrier protection until there is confirmation that the IUCD is correctly situated. A follow-up appointment will also allow for the exclusion of infection, an assessment of menstrual symptoms, and overall tolerability. The woman should be advised to seek medical attention thereafter if she has delayed menses (to rule out pregnancy), if she has unusual pelvic pain or bleeding (to rule out infection, ectopic pregnancy or a pregnancy complication), if her partner complains of pain during intercourse or if the device is expelled. If expulsion is suspected this should be confirmed by direct visualization of the device (by the woman) or by an ultrasound examination of the uterus and/or flat plate x-ray of the abdomen(if not pregnant). There is ordinarily no ne
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