CHAPTER 9
Copper-Bearing Intrauterine Device

This chapter describes primarily the TCu-380A intrauterine device (for the Levonorgestrel Intrauterine Device).

Key Points for Providers and Clients
Long-term pregnancy protection. Shown to be very effective for 12 years, immediately reversible. Inserted into the uterus by a specifically trained provider. Little required of the client once the IUD is in place. Bleeding changes are common. Typically, longer and heavier bleeding and more cramps or pain during monthly bleeding, especially in the first 3 to 6 months.

What Is the Intrauterine Device?

The copper-bearing intrauterine device (IUD) is a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman’s uterus through her vagina and cervix.
Almost all types of IUDs have one or two strings, or threads, tied to them. The strings hang through the cervix into the vagina.
Works primarily by causing a chemical change that damages sperm and egg before they can meet.