Indications 

Multiload Cu375 is an intrauterine device (IUD) that contains copper wire wrapped around a plastic stem. The copper in the IUD works by creating an inflammatory reaction in the uterus that is toxic to sperm, which prevents fertilization of the egg.  

The copper in the IUD can prevent implantation of a fertilized egg, making it an effective form of emergency contraception as well. The device is inserted into the uterus by a healthcare provider and can provide contraceptive protection for up to 5 years. 

Use and Dosage 

Multiload Cu is a T-shaped device made of polyethylene with a copper wire wrapped around the stem. The device needs to be inserted into the uterus by a healthcare provider. 

Here are the steps for inserting Multiload Cu: 

1. The healthcare provider will perform a pelvic exam to determine the position and size of the uterus. 
2. The healthcare provider will then insert a speculum into the vagina to visualize the cervix. 
3. The cervix will be cleaned with an antiseptic solution. 
4. The healthcare provider will then use a special inserter to place the Multiload Cu into the uterus through the cervix. 
5. Once the device is in place, the inserter is removed, and the strings attached to the device are cut to the appropriate length. 
6. The healthcare provider will then check the placement of the device using an ultrasound. 

Note that Multiload Cu should only be inserted by a healthcare provider. The device can remain in place for up to 5 years, after which it should be removed and replaced if continued contraception is desired. 

Side Effects 

Common Side Effects  

• Painful menstrual bleeding 
• Small risk of problems after insertion, such as pelvic infection  
• They can move out of place  

Serious Side Effects  

• Infections and complications 
• Irregular bleeding and sore breasts  
• Copper IUDs can initially make periods heavier and more painful 

Cautions 

• Risk of uterine perforation: Although rare, there is a risk of the IUD perforating the uterus during insertion or while in place. Women with a history of uterine surgery or abnormalities may be at a higher risk. 
• Expulsion: The IUD may be expelled from the uterus, especially in the first year after insertion. This can result in unintended pregnancy. 
• Side effects: Some women may experience side effects such as irregular bleeding, cramping, or pain after insertion. 
• Contraindications: Women with certain medical conditions, such as pelvic inflammatory disease or cervical or uterine cancer, may not be able to use Multiload Cu375. It is important to discuss any medical conditions with a healthcare provider before getting an IUD. 
• Interaction with other medications: Multiload Cu375 may interact with certain medications, such as anticoagulants or medications that affect liver enzymes. Discuss all medications with a healthcare provider before getting an IUD. 
• Risk of infection: There is a small risk of infection with any IUD insertion. Women with a history of pelvic inflammatory disease or sexually transmitted infections may be at a higher risk. 
• Ectopic pregnancy: Although rare, there is a risk of ectopic pregnancy with the use of an IUD. This occurs when a fertilized egg implants outside the uterus, usually in the fallopian tube. 
• Allergic reaction: Women who are allergic to copper may experience an allergic reaction to the IUD. Multiload Cu375 should not be used by women who are allergic to copper. Women with a known allergy to copper should discuss alternative forms of contraception with a healthcare provider. 
• Breastfeeding: Women who are breastfeeding may need to wait until their milk supply is established before getting an IUD. It is important to discuss this with a healthcare provider. 
• Monitoring: Women who use an IUD should have regular check-ups with a healthcare provider to ensure that the device is in place and to monitor for any potential complications.