1. Are of any age (from 21 and also for women over 40 years old)
2. Have or have not had children
3. Are not married
4. Are of any age, including adolescents and women over 40 years old
5. Women who want to prevent unintended pregnancy for 3 to 5 years
6. As an emergency contraceptive
7. Have just had an abortion or miscarriage (if no evidence of infection)
8. Are breast feeding
9. Do hard physical work

You can start using Silverline anytime, when it is certain that you are not pregnant. If you start Silverline within 12 days after the start of your monthly bleeding, there is no need to use any back up method. If you are currently using any other contraceptive method consistently and correctly, you can switch to Silverline immediately.

In the first few months after starting Silverline, you may see some changes in your bleeding pattern. These may include prolonged and heavy monthly bleeding, irregular bleeding and more cramps and pain during monthly bleeding. These changes are however not signs of illness. They usually become less after the first several months after insertion. Please do visit your service provider for help if these changes bother you.

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).

Silverline is superior to other contraceptive methods because it does not require any or repeated action on your part. Once it is placed in the uterus, it starts functioning immediately and continues to perform till the end of its period of effectiveness. It has an extremely low failure rate, which is better than that seen with most other modern temporary contraceptive methods.

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You are welcome to return to your service provider any time, for example, if you have problems, questions or want another method, or if there is a major change in health status. Also, please visit your service provider if:

1. You think that IUD might be out of place. This might include the feeling that the strings are missing or feeling that the hard plastic of an IUD has partially come out.
2. You have symptoms of pelvic inflammatory disease (increasing or severe pain in the lower abdomen, pain during sex, unusual vaginal discharge, fever, chills, nausea and/or vomiting especially in the first 20 days after insertion.
3. You think you might be pregnant

Directions for IUD Users

• Longer and heavier menstrual periods, or bleeding or spotting between periods may occur during the first week after insertion. If they continue or are severe, report to the clinic.
• Cramping may occur following insertion, usually for short time, but could last for several hours to evendays. This can be relieved by taking mild analgesic tablets, using hot compresses on abdomen, and/or exercising moderately.
• Check periodically, and particularly after menstruation, to make certain that the threads still protrude from the cervix. If threads are missing, shorter or longer, return to the clinic.
• If Silverline Cu 380 Ag/ 200 Ag is expelled, return to the clinic. There is no continuing protection after expulsion.
• Return to the clinic for checkup or for the replacement of the Silverline Cu 380 Ag/ 200 Ag (end of five years and end of three years after insertion respectively), as instructed by physician.
• If your periods is delayed (with symptoms of pregnancy, such as nausea, tender breasts, etc...) report immediately to the clinic.
• If there is abdominal pain, pain during intercourse, infections (such as gonorrhea), abnormal discharge, fever, chills consult your physician.

Women should be offered a choice of family planning methods and be informed of the advantages and disadvantages of each. You should ask your healthcare provider about:

• Who can use and should not use an IUD.
• Comparison of IUDs to other methods highlighting advantages.
• How Copper IUDs work.
• Safety and effectiveness of the Silverline Cu 200 Ag/ 380 Ag.
• Insertion and removal process;
• How to check for the IUD string and what to do if it cannot be felt.
• Identification and management of minor side effects.
• Importance of using a condom in addition to the IUD if at risks of STD’s.
• Signs of potential complications including pregnancy.
• Reason for removal.
• Where to seek help should problems occur.
• Schedule for routine checkups and reminder card for date of removal.
• Assurance that you are welcome to return to the health facility if concerned

Silverline comes with the assurance of comfort, convenience and intimacy with no fear.

Silverline is gentle during insertion and removal and helps reduce discomfort. Nylon Suture is softer hence it is more comfortable for the couple. It does not require daily attention from the user and does not interfere with sexual activity.

Because it contains no hormones Silverline does not affect lactation. It also avoids side effects common to hormonal family planning methods.

Silverline IUD is over 99% effective at preventing pregnancy. It has an extremely low failure rate, which is better seen than most family planning methods.

Silverline’s unique Silver Core helps ensure higher effectiveness as it prevents breakdown of the copper wire. Dissolution of the wire stops once it reaches the Silver Core, as Silver does not dissolve in contact with uterine fluids.

Once it is placed in the uterus, it starts functioning immediately and continues to perform till the end of its period of effectiveness.

Silverline is a quickly reversible contraceptive. Once the IUD is removed contraceptive protection is reversed. Fertility is rapidly restored once Silverline is removed