Giving Advice on Side Effects

IMPORTANT: Thorough counseling about bleeding changes must come before IUD insertion. Counseling about bleeding changes may be the most important help a woman needs to keep using the method without concern.
Describe the most common side effects
  • Changes in her bleeding pattern:
    • Prolonged and heavy monthly bleeding
    • Irregular bleeding
    • More cramps and pain during monthly bleeding
Explain about these side effects
  • Bleeding changes are not signs of illness.
  • Usually become less after the first several months after insertion.
  • Client can come back for help if problems bother her or if she has other concerns.