Not necessarily.
a) Counsel - explain to the woman and/or her partner what the partner is feeling and recommend they try again.
b) Describe to the client her other options (and their disadvantages):
- The string can be cut short so that it does not protrude from the cervical os; inform the woman that she would not be able to feel the string and that, at the time of IUD removal, narrow forceps will be needed to remove the IUD (this entails a small additional infection risk). If a string is cut flush with the cervix, record in the chart and tell the woman that the string is located at the opening of the os for future removal.
OR
- Offer to remove the IUD, if other options are not acceptable.
c) If partner complaints occur frequently, the service provider's technique should be reviewed. Strings should be cut approximately 3 cm from the external os.
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a-c) For IUD services, the woman's preferences are the service provider's appropriate focus.
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