Training of Roma Health Mediators in Reproductive Health

Intrauterine Device (IUD)
Show the woman the IUD and explain that the method is provided by a gynecologist.
How to Use the IUD
• The IUD is inserted into the uterus and can stay there for up to 10 years.
• Follow-up is not required after the first three to six week checkup (unless there
is a problem or national guidelines specify other protocols).
• After every menstrual period, check to see if strings are in place. If they are
missing, are shorter or are longer, see the medical doctor.
Possible Side Effects
Most women experience no side effects.
Occasionally, they may experience some of the following side effects:
• Cramping
• Pain during and immediately after insertion
• An increase in vaginal discharge
• An infection
• Heavier and/or longer periods, which normally decrease during the first and
second years.
The IUD Does Not Protect Against STIs/HIV
To protect against STIs/HIV and provide further protection against pregnancy, use a
condom during every act of intercourse.
Reasons to Return to Provider
• Abnormal bleeding or discharge*
• Pain (abdominal or pain with intercourse)*
• Fever*
• Period is late or missing period*
• Strings are missing, are shorter, or are longer*
• Anytime there is a problem with the method.
• A re-supply of condoms is needed (never run out completely before returning).
• Either partner thinks s/he may have been exposed to a STI*
*Immediately contact health care provider or clinic if you develop any of these
problems.
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods