Not recommended for insertion in women w/ AIDS (no antiretroviral therapy or access to care) & high risk of chlamydia & gonococcal infection (partner has current purulent discharge or STI) unless other methods are not available or acceptable. Longer & heavier menstrual periods, or bleeding or spotting between periods during the 1st wk after insertion may occur. Cramping following insertion (usually for a short time) may occur, but may last for several hr up to a few days. Check periodically, & particularly after menstruation to make certain that the threads still protrude from the cervix. Report immediately if period is delayed (w/ symptoms of pregnancy eg, nausea, tender breasts); if threads are missing, shorter or longer; copper T is expelled. Abdominal pain, pain during intercourse, infections (eg, gonorrhea), abnormal discharge, fever, & chills.
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