Patient Selection
Who can use it?
Indication
- Women who want to prevent unintended pregnancy for 3 to 5 years
- As an Emergency Contraceptive
Silverline is safe and suitable for nearly all women, including women who:
- Are of any age (from 21 and also for women over 40 years old)
- Have or have not had children
- Are not married
- Are of any age, including adolescents and women over 40 years old
- Women who want to prevent unintended pregnancy for 3 to 5 years
- As an emergency contraceptive
- Have just had an abortion or miscarriage (if no evidence of infection)
- Are breast feeding
- Do hard physical work
Contraindications
CONTRAINDICATIONS (ABSOLUTE)
Silverline cannot be used in the following conditions:
- Malignant diseases of the genital tract
- Unexplained Vaginal bleeding suggesting pregnancy or an underlying medical condition
- Pregnancy – Women who are pregnant
- Past history of ectopic pregnancy or predisposing factors
- Infections of the genital tract
- Sexually transmitted diseases during the last 12 months (except bacterial vaginitis, repeated herpes infection, Hepatitis B)
- Abortion with infection during the last 8 months, pelvic inflammatory disease
- Uterine malformations (congenital or acquired) /Uterus abnormality
- Allergy to copper
- Suspected Endometriosis
- Infection of the reproductive organs during the first six weeks after childbirth or after an abortion
- Very high individual likelihood of exposure to gonorrhea or Chlamydia
CONTRAINDICATIONS (RELATIVE)
- Anemia
- Valvular heart disease
- Coagulation disorders
- Anti-inflammatory treatment
- Wilson's disease
- Multiple exposures to different sexual partners
- Nulliparity
Side effects
Most side effects occur temporarily after insertion. Women using Silverline Cu 380 Ag/Cu 200 Ag model should be aware about the common side effects of IUD which are given below.
Pain and Bleeding
Pains and bleeding are two common side effects of this IUD. Women may have some bleeding following insertion of an IUD. Menstrual cramps may develop or worsen; cramping is severe in first few months and diminishes later on. Menstrual bleeding may be severe and of longer duration, bleeding between menstrual cycles can occur during the initial 2-3 months. As with cramping heavier bleeding decreases with time. As a result of bleeding iron deficiency may be induced in some cases.- Clients with undetected STI’s might develop Pelvic Inflammatory Disease (PID).
Important Safety Information
Expect changes in bleeding patterns and cramps after IUD placement. These symptoms reduce after several months of usage.
Silverline cannot be used in the following conditions:
Silverline is contraindicated in women with: known or suspected pregnancy, congenital or acquired uterine anomaly, Suspected Endometriosis or infected abortion in the past 3 months; unexplained uterine bleeding; current IUD; acute pelvic inflammatory disease (PID) or history of PID, genital tract infections
PID awareness is essential. IUDs have been associated with an increased risk of PID. PID is often associated with sexually transmitted infections (STIs); Silverline does not protect against STIs, including HIV.