Married early, Premlata Devi had had four children by the time she was 24 years old--a boy and three girls. A homemaker from Tikari block in southern Bihar’s Gaya district, she had had a copper intrauterine device (IUD, the most common brand name being Copper-T) inserted for contraception after the birth of her second child.
Six years later, she had got it removed because of abdominal pains and increased uterine bleeding, both known side-effects of the device. “I no longer want to use Copper-T,” she said.
After the removal of the

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