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Potential complications

Potential complications. Vagal reactions Mild: diaphoresis, nausea Moderate: dizzy, lightheaded, low HR +/- BP Severe: loss of consciousness, seizure Perforation at time of insertion By sound or IUD Infection Greatest in first 20 days (consider prophylaxis) Expulsion

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Potential complications

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  1. Potential complications • Vagal reactions • Mild: diaphoresis, nausea • Moderate: dizzy, lightheaded, low HR +/- BP • Severe: loss of consciousness, seizure • Perforation at time of insertion • By sound or IUD • Infection • Greatest in first 20 days (consider prophylaxis) • Expulsion • 2-5% in first year of use

  2. Vagal reactions • No need to do anything – they resolve without sequelae • Atropine 0.6mg IV works like magic

  3. Perforation at time of insertion • If you take the IUD out, expect rapid healing without sequelae • Copper IUDs in the abdominal cavity cause scarring and should be removed laparoscopically

  4. Infection • Consider prophylaxis in high risk women (metronidazole 2 g or doxycycline 300 mg) • Consider treatment does (one week of doxycycline) in very high risk women

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