Long-acting reversible contraception (LARC) is widely recommended to reduce unintended pregnancy all over the world . A long-lasting birth control method, copper intrauterine device (IUD), offers a great opportunity to manage reproductive health.
As IUD use is increasing , evaluating the role of post-insertion follow-up is important so as to confirm that the IUD is correctly placed, to identify and monitor possible adverse reactions to the IUD and determine when to visit the healthcare provider.
Copper IUD (Copper T 380A) which is non hormonal with long acting use of 10 years from SMB Corporation of India has been proven to be a trusted form of birth control for a long time. The Follow up process will ensure use of IUD as contraception for a long term period.
Why Follow-Up Matters
Copper IUD are said to be "install-and-forget" type of birth control and a routine IUD follow-up appointment is not always considered necessary but some clinicians recommend regular check-ups because of several factors below:
- Placement check: A 6-8 follow-up is recommended by some clinicians to check if the IUD is correctly positioned in the uterus by checking the strings.
- Address concerns: This Follow up provides an opportunity to discuss any side effects or concerns the woman may have, such as pain, abnormal bleeding, or other issues. In some women, there may be increased menstrual bleeding or cramping during the first couple of months after the IUD was inserted. Most often, these side effects resolve quickly and a follow-up appointment will ensure that if the side effects continue, they will be addressed immediately.
- Early problem identification: A follow-up can help identify and address potential complications like infection or expulsion early on. While very uncommon, partial or total expulsion, displacement or perforation can occur with the IUD. In many cases, these symptoms will present themselves as irregular bleeding, severe pain, or inability to locate the string. If any of these symptoms are detected , prompt medical attention is necessary.
- Ensure IUD expiration date: Like all IUDs, each one has an expiration date. For example, the SMB Copper T 380A IUD is rated for use for 10 years. Periodic consultations help track its duration and plan timely replacement when due.
Suggested Follow-Up Schedule for Copper T 380A IUD
Below is a suggested follow-up visit schedule by healthcare professionals for copper IUDs:
- 2–4 Weeks Post Insertion: Check that the IUD threads are visible; IUD is in the correct position and that the woman is doing well with the IUD.
- Six to Twelve Months Later: Perform an IUD-related routine check unless she develops some symptom prior to that time and needs to be examined.
- Immediately If:
- The IUD strings cannot be felt or the woman feels the plastic copper portion of the IUD. (refer to our detailed guide on what to do next: What Should You Do If the Strings of an IUD Are Not Felt?)
- There is heavy or unusual bleeding, extreme pain or signs of infection (fever, foul-smelling discharge) associated with the IUD.
- The woman thinks she may be pregnant (although very uncommon, it does occur).
- The woman reaches the end of the 10-year life expectancy of the SMB Copper T 380A IUD or other devices' expected expiration date.
What to Expect at Your Follow-Up
The doctor will usually do the following during your appointment:
- Per Speculum /Vaginal examination to check strings or use an ultrasound if strings not felt to verify the location of the IUD in the uterus at the uterine fundus.
- Ask you how much bleeding you've experienced, what type of cramping you have been experiencing and whether you feel comfortable in terms of other symptoms.
- Check the string length to be sure it is the correct length.
- Check on your overall health by reviewing any changes in your medical status, any current medical problems or any medications you're taking (i.e. if you now have a higher risk of Pelvic Infection or STIs, the IUD will likely require additional monitoring).
- Advise on when your IUD should be removed or replaced
This quick evaluation helps keep the device safe, comfortable, and fully effective.
Why Choose SMB Corporation of India’s Copper IUDs
For more than four decades, SMB Corporation of India has been at the forefront of contraceptive innovation and manufacturing excellence. The company’s copper IUDs have many differentiating features that make them unique from other types of contraceptive IUDs.
Key features of the SMB Copper T 380A include:
- The SMB Copper T 380A has a double-winding copper coil design that will eliminate loose or protruding ends, thereby ensuring structural integrity.
- The SMB Copper T 380A is engineered with precision to ensure optimal placement and long-term stability.
- It is made from 99.99% pure copper and has an extremely high active copper surface area (380 mm²), which provides the highest level of contraceptive effectiveness.
- This product is free of hormones and works as soon as it is inserted; therefore, it may be a good option for breastfeeding mothers, women aged 40+, and/or those who do not wish to take steroid-based contraceptives.
- All manufacturing occurs within a class 10,000 clean room facility, and the products have received regulatory approval for distribution on a worldwide basis.
Therefore, when properly fitted and followed up, the copper IUDs manufactured by SMB Corporation of India can be one of the top choices for women seeking long-acting reversible contraceptives.
Key Takeaways for You
- Follow-up is required to maintain the safety and performance of the contraceptive device.
- Take note of the date your contraceptive device was inserted to determine when it will need to be removed or replaced (for example, approximately 10 years for the SMB Copper T 380A).
- Contact your doctor immediately if you experience any unusual symptoms, whether it’s painful, abnormal bleeding, non-visible strings, or if you can physically feel the device.
- A high-quality device (such as one from SMB Corporation of India) used with appropriate follow-up care provides dependable, hormone-free birth control, which allows you to pursue your life instead of having to take daily birth control or worry about missing birth control doses.
Final Thoughts
The copper IUD is a smart and proactive choice, but long-term success will also depend on follow-up care after it is inserted. Plan your follow-up visits, be aware of your body and do not delay contacting your doctor if you feel that something is amiss.