By vgreene, 1 June, 2017 No routine f u visit required assess the following at other routine visits 4 nbsp nbsp satisfaction concerns w method nbsp nbsp health status changes nbsp nbsp presence of IUD strings nbsp nbsp weight changes
By vgreene, 1 June, 2017 Provision of meds for IUD placement1 nbsp nbsp Misoprostol not recommended routinely but may be useful in selected circumstances e g in pts w recent failed placement nbsp nbsp Lidocaine paracervical block or topical for IUD placement may darr pain
By vgreene, 1 June, 2017 Prior to placement perform bimanual exam cervical inspection STI screen if at risk 4 Pts w known medical conditions may need additional exam tests to determine if candidate for this method Refer to CDC website for STI screening criteria and recommendation
By vgreene, 1 June, 2017 Counsel about potential changes in bleeding patterns 1 nbsp nbsp Spotting light bleeding and heavy prolonged bleeding during the first 3 6mo of Cu IUD use is common Generally not harmful and darr w continued Cu IUD use nbsp nbsp However if new onset heavy
By vgreene, 1 June, 2017 Can place w in 5 days of unprotected intercourse as ECP 1 nbsp nbsp When day of ovulation can be estimated can be placed 5 days after unprotected intercourse providing this is not 5 days after ovulation
By vgreene, 1 June, 2017 Place anytime if reasonable certainty pt is not pregnant i e has no pregnancy s sx and meets any one of the following criteria 4 nbsp nbsp 7 days after start of normal menses nbsp nbsp No sexual intercourse since start of last normal menses nbsp nbsp Corr
