How is a Nova-T intrauterine contraceptive device (IUCD) inserted?
A vaginal speculum is inserted and the cervix is visualized. The cervix is cleansed using an aqueous antiseptic solution. Local anaesthetic (e.g. lidocaine 1%) can be injected into the anterior lip of the cervix, prior to application of a tenaculum, and it can also be used to establish a para-cervical block, particularly in nulliparous women. The tenaculum on the anterior lip of the cervix though not mandatory is often extremely helpful in straightening and aligning the cervical canal with the uterine cavity (thus decreasing the risk of perforation). The uterus is usually sounded. The IUCD is then loaded into the barrel of the inserter, using sterile technique and following the manufacturer’s recommended method. The device is loaded only as far as needed to allow insertion. The flange on the outside of the barrel is adjusted to the depth of the uterine cavity (as measured by the sound). The long axis of the flange should be aligned with the arms of the device to help to correctly align
Related Questions
- What should be done if a woman experiences amenorrhoea or a delayed period with an intrauterine contraceptive device (IUCD) in situ?
- Are there any specific tests or examinations that must be performed prior to inserting an intrauterine contraceptive device (IUCD)?
- What follow-up is required after insertion of an intrauterine contraceptive device (IUCD)?
