User FAQs

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Is it suitable for me?

Silverline is safe and suitable for nearly all women, including women who:

  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
When should I start?

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.

What to expect?

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.

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).
Silverline vs. Other Family Planning Methods

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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Silverline Cu 380 Ag Effectiveness over 99%
Silverline Cu 200 Ag Effectiveness over 99%
Copper IUD (Cu 250) Extremely effective (99%)
Copper IUD (Cu 375) Extremely effective (99%)
Copper IUD (TCu 380A) Extremely effective (99%)
Oral Contraceptive Pills Very effective (92%)
Injectable Contraceptives Very effective (97%)
Abstinence Extemely effective (100%)
Female Sterilization Extremely effective (99%)
Lactational Amenorrhea Method Extremely effective (98 - 99%)
Vasectomy Extremely effective (99%)
Vaginal Ring Very effective (92%)
Female Condom Effective (79%)
Male Condom Effective (85%)
Withdrawal Effective (82%)
Emergency Contraception Moderately effective (75 - 89%)
Fertility Awareness Methods Moderately effective (75%)
Spermicide Moderately effective (75%)
Sponge Moderately effective (68 - 84%)
Silverline Cu 380 Ag Effective for 5 years
Silverline Cu 200 Ag Effective for 3 years
Copper IUD (Cu 250) Effective for 3 years
Copper IUD (Cu 375) Effective for 5 years
Copper IUD (TCu 380A) Effective for 10 years
Oral Contraceptive Pills Take daily
Injectable Contraceptives Effective for 3 months
Abstinence Not applicable
Female Sterilization Permanent
Lactational Amenorrhea Method Daily for 6 months after delivery of baby
Vasectomy Permanent
Vaginal Ring Replace monthly
Female Condom Use and dispose with each act of intercourse
Male Condom Use and dispose with each act of intercourse
Withdrawal Use with each act of intercourse
Emergency Contraception Can be taken up to 3 days after unprotected sex
Fertility Awareness Methods Track daily
Spermicide Use with each act of intercourse
Sponge Dispose of 24 hours after insertion
Silverline Cu 380 Ag Heavy or irregular periods, cramps
Silverline Cu 200 Ag Heavy or irregular periods, cramps
Copper IUD (Cu 250) Heavier periods, increased cramping
Copper IUD (Cu 375) Heavier periods, increased cramping
Copper IUD (TCu 380A) Heavier periods, increased cramping
Oral Contraceptive Pills Nausea, headaches, breast tenderness
Injectable Contraceptives Irregular or no periods, weight gain
Abstinence None
Female Sterilization Potential complications associated with anesthesia and surgery; cramping, pain, bleeding or spotting on day of procedure; perforation of the uterus and /or fallopian tube
Lactational Amenorrhea Method None
Vasectomy Short-term tenderness and bruising, reactions to local anesthesia, infection
Vaginal Ring Nausea, headaches, breast tenderness
Female Condom None
Male Condom Irritation from latex
Withdrawal None
Emergency Contraception Nausea, irregular next period following use
Fertility Awareness Methods None
Spermicide Irritation from spermicide, increased risk of vaginal infection
Sponge Irritation from spermicide, increased risk of vaginal infection
Silverline Cu 380 Ag Yes
Silverline Cu 200 Ag Yes
Copper IUD (Cu 250) Yes
Copper IUD (Cu 375) Yes
Copper IUD (TCu 380A) Yes
Oral Contraceptive Pills Yes
Injectable Contraceptives No
Abstinence Not applicable
Female Sterilization No
Lactational Amenorrhea Method Yes
Vasectomy No
Vaginal Ring Yes
Female Condom Yes
Male Condom Yes
Withdrawal Yes
Emergency Contraception Yes
Fertility Awareness Methods Yes
Spermicide Yes
Sponge Yes
When to visit provider?

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.
What should I ask my Ob/Gyn?

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
Comfort & Safety

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.

How effective is it?

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.

When can I conceive again? Return to fertility

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

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.