الفهرس 
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Abstract
Intrauterine contraceptive device (IUD) IS the most common,widely used reversible method of contraception, currently used by nearly 160 million women. The aim of the study was to explore the factors associated with intrauterine device discontinuation, failure and switching in Maternal and Child Health Centers at Zagazig City. A descriptive design was selected in carrying out this study and a purposive sample of 400 women who had used an IUD and requested its removal were recruited for this study. An interview questionnaire sheet was designed and implemented. The results of the present study revealed that the mean duration of the current IUD was 4.5±3.6 with a range of 0.1-22 years, almost three fourths (74.4%) of women lost to follow up. The desire for conception was the most common reason, with the highest percentage (25.5%) followed by heavy bleeding and spotting and PID (21.5% and 12.3% respectively) . In addition, other reasons for IUD withdrawal was social problems, expired date of the IUD and missed IUD (14.5%, 10.3%
and 8.2% respectively). Statistical significant relation was found between reasons of discontinuation and women’s age, education, number of living children, the previous use oflUD and the duration of the current IUD. It can be concluded that, medical and social problems constitute the main reasons for discontinuation of IUDs. A great proportion lost the follow up and a significant relation was found between women characteristics and
reasons for discontinuation of the IUD. Counseling during the initial and return visits as well as after the removal of the IUD are mandatory.