Chapter 11

Supporting New and Continuing Users

Giving Specific Instructions

Expect cramping and pain
  • She can expect some cramping and pain for a few days after insertion. 
  • Suggest ibuprofen (200–400 mg), paracetamol (325–1,000 mg), or other pain reliever as needed.
  • Also, she can expect some bleeding or spotting immediately after insertion.

Length of pregnancy protection 
  • Discuss how to remember the date to return for removal or replacement. 
  • Give each woman the following information in writing on a reminder card, like the one shown below, if possible, and explain: 
    • The type of IUD she has
    • Date of IUD insertion 
    • Month and year when IUD will need to be removed or replaced. (For the Mirena and Kyleena LNG-IUDs, 5 years after insertion. For the Liletta, Skyla, and Jaydess LNG-IUDs, 3 years after insertion.)
    • Where to go if she has problems or questions about her IUD 

Follow-up visit
  • A follow-up visit after her first monthly bleeding or 3 to 6 weeks after IUD insertion is recommended. No woman should be denied an IUD, however, because follow-up would be difficult or not possible.
IUD reminder card
How Can a Partner Help?

The client’s partner is welcome to participate in counseling and learn about the method and what support he can give to his partner. A male partner can:

  • Support a woman's choice of the LNG-IUD
  • Show understanding and support if she has side effects
  • Use condoms consistently in addition to the IUD if he has an STI/HIV or thinks he may be at risk of an STI/HIV
  • Help to remember when the IUD is due for removal

LNG-IUD counseling with partner