Follow-up after insertion of an intrauterine contraceptive device

Advise all individuals who have had a levonorgestrel-releasing or copper intrauterine contraceptive device (IUD) inserted to seek advice at any time if there are concerns about possible complications or adverse effects, including an inability to feel the threads, symptoms of infection, and unusual bleeding patterns.

Individuals at increased risk of uterine perforation (including those who were less than 9 months postpartum or breastfeeding at the time of IUD insertion, or had any difficulties with insertion) should be reviewed 3 to 6 weeks after IUD insertion to check for signs of perforation, expulsion or infection.

If insertion was difficult or there are concerns about IUD position, an ultrasound soon after the insertion may be indicated.

For other individuals, review 3 to 6 weeks after insertion at the discretion of the clinician. If the IUD was inserted as emergency contraception, see here for advice on follow-up pregnancy testing.