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Limited data suggest that MRI at the level of 1. Neither device moved under the influence of the magnetic field or heated during the spin-echo sequences usually employed for pelvic imaging. Theoretically, medical non-surgical diathermy short-wave and microwave heat therapy in a patient with a metal-containing IUD may cause heat injury to the surrounding tissue.
However, a small study of eight women did not detect a significant elevation of intrauterine temperature when diathermy was performed in the presence of a copper IUD. No difference has been detected in concentration of copper in human milk before and after insertion of copper IUDs. The literature is conflicting, but limited data suggest that there may be an increased risk of perforation and expulsion if a woman is lactating.
Safety and efficacy have been established in women over 16 years old. These include:. The following adverse events have also been observed. These are listed alphabetically and not by order of frequency or severity.
Therefore, the clinician should be familiar with the following instructions. First, place the package face up on a clean surface. Next, open at the bottom end where arrow says OPEN. Pull the solid white rod partially from the package so it will not interfere with assembly. Place thumb and index finger on top of package on ends of the horizontal arms. This will start bending the T arms. Bring the thumb and index finger closer together to continue bending the arms until they are alongside the stem.
Use the other hand to withdraw the insertion tube just enough so that the insertion tube can be pushed and rotated onto the tips of the arms. Your goal is to secure the tips of the arms inside the tube Fig.
Insert the arms no further than necessary to insure retention. Rotate the insertion tube so that the horizontal arms of the T and the long axis of the blue flange lie in the same horizontal plane Fig.
The blue flange should be at the cervix in the horizontal plane. Gently and carefully move the insertion tube upward toward the top of the uterus, until slight resistance is felt. This will ensure placement of the T at the highest possible position within the uterus Fig. Gently and slowly withdraw the insertion tube from the cervical canal. Only the threads should be visible protruding from the cervix.
Trim the threads so that 3 to 4 cm protrude into the vagina. Instrumentation of the cervical os may result in vasovagal reactions, including fainting. Have the patient remain supine until she feels well, and have her get up with caution. You should be able to see or feel only the threads. Evaluate the patient promptly if she complains of any of the following:. The length of the visible threads may change with time. However, no action is needed unless you suspect partial expulsion, perforation, or pregnancy.
Gentle probing of the cavity, radiography, or sonography may be required to locate the IUD. An alligator forceps or other grasping instrument may be helpful.
Hysteroscopy may also be helpful. You should also learn about other birth control methods that may be an option for you. The table below shows the chance of getting pregnant using different types of birth control. The numbers show typical use, which includes people who don't always use birth control correctly. Pregnancies per women over one year. Your healthcare provider first examines you to find the position of your uterus. Two white threads extend into your vagina.
The threads are trimmed so they are just long enough for you to feel with your fingers when doing a self-check. Some women feel faint, nauseated, or dizzy for a few minutes afterwards. Your healthcare provider may ask you to lie down for a while and to get up slowly. Do not pull on the threads. If you think you are pregnant, contact your healthcare professional right away. Contact your healthcare provider right away if you get fever, chills, cramping, pain, bleeding, flu-like symptoms, or an unusual, bad smelling vaginal discharge.
Ectopic pregnancy is an emergency that may require surgery. An ectopic pregnancy can cause internal bleeding, infertility, and death. Unusual vaginal bleeding or abdominal pain may be signs of an ectopic pregnancy.
However, if your menstrual flow continues to be heavy or long, or spotting continues, contact your healthcare provider. For example, you may have anemia low blood count , backache, pain during sex, menstrual cramps, allergic reaction, vaginal infection, vaginal discharge, faintness, or pain.
This is not a complete list of possible side effects. If you have questions about a side effect, check with your healthcare provider. Be sure to call if you. General advice about prescription medicines. If you would like more information, talk with your healthcare provider. Do you have any of the following conditions? Each unit wound with approximately mg of copper wire. In addition, a single copper sleeve is swaged on each of the two transverse arms.
Each sleeve contains approximately See detailed instructions. Please ensure that this package insert is provided to the patient. Review patient brochure with each patient before insertion. There are several different non-hormonal IUDs available in Australia. Once inserted, it can be left in for 5 — 10 years depending on the type and used as an ongoing method of contraception.
They can be used for contraception until menopause if inserted when you are 40 years of age or older. If you are using the copper IUD for emergency contraception , you need to use it within 5 days or hours after unprotected sex.
IUDs affect the way sperm move and survive in the uterus womb , stopping sperm from meeting and fertilising an egg. IUDs can also change the lining of the uterus, making it difficult for a fertilised egg to stick to the lining to start a pregnancy. Local anaesthetic: a medicine used to numb a part of your body for a short while. You remain conscious. Sedation: a medicine used to cause a relaxed, sleep-like state so you are unaware of the procedure.
The copper IUD is inserted inside the uterus womb by a trained doctor or nurse. You can choose to have a local anaesthetic or sedation while it is inserted. The IUD insertion takes around 15 minutes but you will be in the clinic for an hour or more. The string cannot be seen and it does not hang out of the vagina. If you feel high up inside your vagina, you can check that the string is there and know the IUD is still in place. It is good to do this every month. If the string feels like it is shorter or longer than normal or you cannot feel the string at all, the IUD may have shifted and you should see a doctor or nurse.
Your doctor or nurse will provide a script which you can take to the pharmacy, who will sell you the copper IUD. Sometimes you can buy the IUD from the clinic. You will need to return to the clinic to have the IUD inserted. It may happen that the Copper —T got expelled and the woman did not notice its expulsion. Diagnosis of this condition is by exclusion. Sonography and X-ray of abdomen and pelvis is done. If both these tests come out normal and no Copper-T is found, the diagnosis of expelled Copper-T is made.
Diagnosis is by Ultrasound. This procedure is done under anesthesia in operation theater.
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