Hormonal Intrauterine Device

The Levonorgestrel Intrauterine Devices (LNG-IUDs) module is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assumes trainees will have a minimum level of clinical training.

By the end of the training, trainees should be able to:

  1. Describe the characteristics of LNG-IUDs in a manner that clients can understand:
    1. What LNG-IUDs are and how they work (mechanism and onset of action)
    2. Effectiveness
    3. Side effects
    4. Non-contraceptive health benefits
    5. Possible health risks (complications)
    6. Other characteristics (STI/HIV protection, ease of use, return to fertility, when to initiate and discontinue)
  2. Demonstrate the ability to:
    1. Screen clients for medical eligibility for LNG-IUDs
    2. Explain to clients the insertion, removal, and follow-up procedures
    3. Explain when to return to the clinic
    4. Address common concerns, misconceptions, and myths
    5. Conduct follow-up for LNG-IUDs clients in a way that enhances continuing safety, satisfaction, and acceptance
  3. Describe when to initiate use of LNG-IUDs (postpartum, switching from another method).
  4. Explain how to manage side effects.
  5. Identify conditions that require switching to another method.
  6. Demonstrate on anatomical models how to safely insert and remove LNG IUDs.


Read the Quick Start guide below, if you haven't already--and then explore the tabs at right to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more--all of which you are free to adapt for your training participants' needs.