Timings of insertion and complications among intrauterine copper device users; A prospective cohort study

Objective: To determine the frequency of timings of insertion and follow up complications like menstrual irregularities and vaginal discharge among intrauterine copper device users (IUCD). Methodology: This prospective Cohort study was conducted in obstetrics and gynecology department, Fauji Foundation Hospital, Rawalpindi from June to December 2018. Atotal of 101 patients of age between 25 to 45 years were included in the study. A self-structured questionnaire was used to collect data regarding demographics and timing of insertion then they were followed after six week, three month and six month time period to get data regarding complications of IUCD. SPSS version 21 was used to analyze data. Results: Out of 101 patients, mean age was 33.38 4.19 years among them 13(12.9%) women were of 35 years old. After follow up, 24(23.8%) reported vaginal discharge, 16(15.8%) came up with menstrual irregularities while 10(9.9%) experienced heavy menstrual bleeding with 14(13.9%) women having no complain after IUCD usage. Conclusion: Post-Partum IUCD was found to be more frequently inserted at a lower (uterine) segment caesarean section, while the most common complication noted was vaginal discharge and then menstrual irregularities.