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Introduction: One of the most important problems in family plannhng is effectiveness and accidents of contraceptive method.IUD is the most acceptable method of turn back pregnancy preventive in the world that it used for milyons women yearly that for evaluate the effectiveness and accidents of IUD as a contraceptive method, among women who received IUD from health center clinics in Rasht.Materials & methods: It is a descriptive-cross sectional study and from Rasht city 600 marrid women selected randomly for research. The collection of data and information was done by questionnaire and their family plannhng cards.The number of women who attended and used IUD was 600 and all of them were in a good health before receiving IUD.The factor pregnancy for effectiveness and other factors such as: cramp, pain, bleeding, infection, uterus perforations, pelvic inflammation disease, spontaneous expulsion of IUD were considered as accidents of IUD among the users.Results: The research showed that the effectiveness of IUD in women was  95.83%,and most important complaint in women were infection and cervicovaginal discharge (14.67 %), bleeding and menstrual dysfunction (17.83 %), cramp and pain (12.67 %), automatic repelling(0.08%),displacement (6.17%).The most unsatisfaction in user was infection and cervicovaginal discharge, menstrual dysfunction, cramp and pain, automatic repelling, displaced IUD.43.67% of women satisfied from use IUD. 28.40% women in research removal IUD becauce of its side effect.Conclusion: This side effects was preventivable and health education about this method is necessary for women also for preventive performance pop smear and laboratory test of vaginal infection would be considered before using of IUD is used.

Keywords: side effects, efficiency, health education, IUD

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