Intrauterine contraceptive devices

IUCDs are forms of long-acting reversible contraception (LARC). They may be non-hormonal (Copper IUCD) or hormonal, containing levonorgestrel (Mirena^®, Jaydess^®).

By the end of this short course you will be able to:

• Assess and advise women who wish to use an IUCD either short term (emergency contraception) or longer term.
• Describe their mode of action and efficacy.
• Demonstrate familiarity with the UK MEC (Medical Eligibility Criteria) for use.
• Discuss appropriate screening eg swabs.
• Describe the timing of insertion & removal.
• Discuss equipment and insertion technique.
• Describe the management of medical emergencies eg. uterine perforation, cervical shock.
• Decide on appropriate follow-up and management of side effects and complications.

Acknowledgements

This content was created by Dr Orna McGinn, MRCGP (UK) DRCOG DFFP FRCNZGP, and updated by Connie Kang BPharm(Hons).