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Intrauterine Device (IUD) for Emergency Contraception: Care Instructions

Overview

A copper intrauterine device (IUD) is a small, T-shaped plastic device. The copper IUD can be used to prevent pregnancy after unprotected sex. It can be placed up to 7 days after you've had unprotected sex.

A doctor inserts the IUD into your uterus. A plastic string tied to the end of the IUD hangs down through the cervix into the vagina.

A copper IUD used for emergency contraception can stay in place for 10 years. In some cases it can be used longer. Talk to your doctor about how long you can use it. It can serve as a good method of regular birth control.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • You may have some mild cramping and light bleeding (spotting) for 1 or 2 days. Use a hot water bottle or a heating pad set on low on your belly for pain.
  • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), if needed. Read and follow all instructions on the label.
  • If you haven't started your period within 3 weeks of having the IUD inserted, get a pregnancy test.
  • A string tied to the end of the IUD hangs down through the opening of the uterus (called the cervix) into the vagina. You can check that the IUD is in place by feeling for the string. The IUD usually stays in the uterus until your doctor removes it.
  • If the IUD comes out, save it and call your doctor or nurse advice line. Be sure to use another form of birth control while the IUD is out.
  • Use latex condoms to protect against sexually transmitted infections (STIs), such as gonorrhea and chlamydia. An IUD does not protect you from STIs. Having one sex partner (who does not have STIs and does not have sex with anyone else) is a good way to avoid STIs.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).
  • You have sudden, severe pain in your belly or pelvis.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have new belly or pelvic pain.
  • You have severe vaginal bleeding. This means that you are soaking through your usual pads every hour for 2 or more hours.
  • You are dizzy or light-headed, or you feel like you may faint.
  • You have a fever and pelvic pain or vaginal discharge.
  • You have pelvic pain that is getting worse.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You can't feel the string, or the IUD comes out.
  • You feel sick to your stomach, or you vomit.
  • You think you may be pregnant.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.