1. Cu T 380 A
No Touch Loading Technique

2. Female Sterilisation
Condoms
Pill
IUCD
Male Sterilisation

3. Several problems with IUCD
Often, they are not inherent problems of IUD
Poor motivation of Client
Poor Selection of Cases 
Poor insertion technique
Poor infection prevention strategies
Poor post procedural counseling
Provider dependent problems
Poor training.

4. Some of you may have
a bad impression of Copper T
s
Perforation, It is useles
Expulsion,
Failure,
Ectopic………
Don’t condemn !
look at the evidence

5. High Failure Rate ?
Failure percentage of different methods with typical use
Rate of Pregnancy With Typical Use
30%
25%
Percentage
20%
15%
TCu380A
10%
5%
0%
Combined
Condom
Condom
TCu380 A
Diaphram
Mini Pill
S permicide
Female
Male
Pill
Methods
Source…Contraceptive Technology Update Series…Family Health International

6. LOW ECTOPIC PREGNANCIES
Use of TCu 380 A has one of the lowest rates of
ectopic pregnancies.
ESTIMATED ECTOPIC PREGNANCY AND CONTRACEPTIVES
7
91% less chance of developing
6
Ectopic than control
5
RATE
4
3
2
1
0
OCP
TCu380A
No Method
Condom
Diaphram
S terilization
Female
METHOD
Source…Contraceptive Technology Update Series…Family Health International

7. CONTINUATION RATE
• IUD has one of the highest continuation
rates at first year of use
IUD
Continuation Rate of different contraception methods Combination pill
Depo-Provera
90% Periodic abstinence
80%
80% 72% Male condom
70%
67% Diaphragm
70% 63%
58% Spermicides
60%
Percentage
50% 43%
40%
30%
20%
10%
0%
IUD
condom
Provera
Diaphragm
Combination
Spermicides
Depo-
abstinence
Male
Periodic
pill
Contraception methods
Source…California Journal of Health-System Pharmacy

8. Why the failures?
Poor positioning of CuT
Faulty Insertion Technique

9. Higher Infection rates ?
Poor infection prevention
strategies
Providers not familiar with
“No touch Technique”

10. Loading Copper T

11. Usual
Technique
Overlooking the “No touch technique”

12. Copper T is not touched
at any stage

13. Inspection of Copper T
Expiry Date

14. Step 1
Open the pack at the far end

15. Holding the package with Step 2
open end up, put the white
solid rod into the insertion
tube to almost touch the
bottom of the T

16. Step 3
Withdraw the Copper T with insertion tube a little downwards

17. Step 4
Place the package on the clean, hard, flat
surface.
Step 3 Fix the arms
Push up the tube
Insert the arms

18. Step 5
Adjusting blue
Length gauge

19. Step 6

20. Step 7
It directly goes into the uterus
without touching vaginal walls

21. Withdrawal
Step 8
Technique
Client is ready,
Cervico vaginal
preparation done
already

22. Remove the Plunger first
Step 9
If the plunger and
The tube together
withdrawn

23. Step 10
Second Push

24. Step 11
Don’t catch the tail with
Artery forceps

25. Rest for few minutes after insertion
Reassure
Review
Referral of complicated case

26. IUDs: Client Information
and Instructions
Return to clinic immediately if you:
Experience any of the warning signs
“PAINS”
Feel the hard part of the IUD,
Expel the IUD, or
Miss a period.

27. Post procedural Counseling
Subsequent review
Possible discomfort
Medication sos
Contact details
Follow up visit
etc etc

28. TCu Regular
TCu with safe load device