Background Contraception is the deliberate use of artificial methods or techniques to prevent pregnancy resulting from sexual activity. Intrauterine contraceptive device IUCD is one of the contraception forms.Objectives The objectives of the present study were to identify the reasons for non-acceptance of intrauterine contraceptive devices IUCD and to analyze the demographic characteristics of the participants.Methods A total of 296 women visiting the PNC OPD were included. Women aged 20-40 years who had not undergone sterilization and eligible for contraception were counselled for IUCD insertion. Those who declined the method were asked to provide reasons for non-acceptance. Their socio-economic details were recorded and informed consent was obtained. Myths and misconceptions related to IUCDs were also documented.Results The acceptance rate was 36. Among the participants 27 of women belonged to the 20-25 and 35-40 years age group and 66 were multigravidas. A majority 74 were from lower socio-economic backgrounds and 57 were educated. Myths and misconceptions accounted for 73 of the reasons for nonacceptance. Other reasons included preference for alterative contraceptive methods 9 religious beliefs 7 refusal by husbands 6 opposition from family members 3 and fear of IUCD insertion pain 2. Among the myths the most commonly cited were belief that IUCD causes drastic weight loss 21 that it can migrate inside the body 15 that the male partner can feel the device during intercourse 11 and that it causes pain during sexual activity 10.Conclusion Intrauterine devices IUDs offer effective long-term protection against unintended pregnancies - a key factor in reducing abortion-related health risks. However misconceptions and limited awareness often hinder their acceptance highlighting the need for broader education to address myths and promote informed choices.nbsp
Rashmi et al. (Wed,) studied this question.