Changing trends in the usage of copper intrauterine contraceptive device: a five year institutional study

Abstract

Background: Intrauterine contraceptive device is one of the commonest form of long acting contraceptive method (LARC) adapted by reproductive aged women all over the world today. It can be used for 5 to 10 years depending on the type of the device. Aim of the study was to study the institutional rate of copper IUCD usage, rate of removal, side effect profile, indications for removal among women seeking contraception.Methods: The data regarding the usage of various temporary contraceptive methods were obtained from the family planning unit at our institution SSIMS&RC, Davangere from the records between Jan 1, 2012 to Dec 31, 2016 (5 years). A careful detailed study of records was done on the usage of Cu-IUCD.Results: During the five year study period, 3,767 women were provided with various forms of contraceptive methods. Cu-IUCD was the commonest method used by women accounting for 42.11% (1586 users). There was a decline in the rate of usage of Cu-IUCD in 2015-16, with increase in the usage of injectables. 179 women requested for removal in the study period, main reason being desire to become pregnant in 73.18% (131) users. Failure rate in the study period was 0.55%.Conclusions: Cu-IUCD is a safe and effective method of contraception adapted by women of reproductive age. The rate of removal is also low in our study. The decline in the usage of Cu-IUCD during our study period could be attributed to increasing awareness of other methods of LARC.