1. I U C D INTRODUCTION CLASSIFICATION MECHANISM OF ACTION METHOD
SIDE EFFECTS /COMPLICATIONS/REMOVAL
EFFICACY
WHOM SUITABLE?
MISSING IUCD

3. Case scenario-1
26 years old ,P2L2, does not want to conceive any more.
-What choices would you offer her for contraception?

4. Case scenario-2 A 30 years old P3L3 chose Cu-T as
her contraceptive choice.
-When would you ask her to come?
-How many years she can keep it?
-Give 2 adv and 2 disadvantages of IUCD.

5. INTRODUCTION
A DEVICE WHICH IS PLACED IN UTERINE CAVITY WITH AIM OF PREVENTING PREGNANCY
POPULAR METHOD IN DEVELOPING COUNTRIES

6. CLASSIFICATION NON MEDICATED : LIPPES LOOP MEDICATED : CuT 200,CuT380A
MULTILOAD275
HORMONAL : PROGESTASERT
MIRENA( LNG)

7. TYPES OF IUCDS

8. COPPER-T 200

10. MULTILOAD

11. MIRENA - IUCD (LEVONORGESTREL)

12. MECHANISM -ACTION PREVENTS IMPLANTATION. SPERMICIDAL ACTION
FORIGN BODY REACTION
CHEMICAL EFFECT OF COPPER
PROGESTERONE - DRY CERVICAL MUCUS
-ENDOMET.SUPPRESSED

13. METHOD TIMING :POST MENSTRUAL POST ABORATL POSTPARTUM
ASEPTIC PRECAUTIONS
PELVIC EXAMINATION
WITHDRAWAL / MODIFIED TECHNIQUE
FOLLOWUP : NEXT MENSES
CHECK FOR THREAD

14. SIDE EFFECTS MILD PAIN / DYSMEN MILD VAG DISCHARGE BACK ACHE
INCREASED BLEEDING

15. COMPLICATIONS MENORRHAGIA P I D ? ECTOPIC PREGNANCY
? TUBAL INFERTILITY
MISSING IUCD
PERFORATION OF UTERUS

16. WHOM SUITABLE? - INDICATIONS : -PAROUS WOMEN -POOR COMPLIANCE
CONTRAINDICATIONS :
- A.U.B /SUSPECTED CA
- NULLIPARA
- STD/CSV/PID/FIBROID
- AT RISK FOR ECTOPIC

17. REMOVAL-INDICATIONS SEVERE BLEEDING INFECTION SEVERE ,CONSISTANT PAIN
PREGNANCY
LIFESPAN : CuT 200B YRS
MULTILOAD 275-5YRS
MIRENA YEARS

18. EFFICACY FAILURE RATE < 1 % - WRONG INSERTION - DISPLACEMENT
PERFORATION
IF PREGNANCY - COUNSEL THE WOMAN
- REMOVAL IF POSSIBLE
- NO MAJOR PROBLEM IF PREG CONTINUES

19. MISSING THREAD /IUCD THREAD NOT SEEN /FELT : -PREGNANCY -EXPULSION
-MIGRATION /DISPLACED
. PREG TEST,ULTRA SCAN,X- RAY

20. ADVANTAGES ONE TIME SIMPLE OPD PROCEDURE COST EFFECTIVE
REVERSIBLE
NO SYSTEMIC SIDE EFFECTS
NO COMPLIANCE PROBLEM

21. MUST KNOW ! THEORY : Eg : Classify IUCDs.Enlist 4 advantages
and complications of CuT 200(2+4+4)
SHORT NOTE :
Copper –T,MissIng IUCD,removal ind.
OSCE :

22. Theory class-30-01-04 -6th semester
I U C D
DR Sathisha Nayak
Dept of obs. And gyne
Theory class th semester