Immediate Versus Delayed Insertion of Intrauterine Contraception After Medical Abortion

Inclusion Criteria: * 18 years and older, * eligible for medical abortion, * opting for post abortion IUC, * able and willing to comply with planned follow up. Exclusion Criteria: * Contraindication for medical abortion or * Contraindication for IUC (contraindications may be present for LNG-IUSs but the woman may still choose a Cu-IUD and thereby enter the study), * inability to give informed consent. * Septic abortion * Known hypersensiblity/allergy to levonorgestrel or any of the substances added to the LNG-IUS * Known abnormal uterine cavity * Chorioamnionitis * Abortion associated bleeding \> 1000ml * Uterine atony postabortion * Placental retention * Therapeutic antibiotic treatment during abortion, (antibiotics used only as prophylaxis is accepted) * History of breast cancer * If any of the following conditions are present an individual evaluation and decision must be done before inclusion: pelvic or genital infection, cervicitis, immunocompromised women, untreated cervical dysplasia, neoplasia in cervix or uterus, acute liver disease or hepatic neoplasia, migraine or other very severe headache, icterus, high uncontrolled blood pressure, serious arterial disease i.e. stroke or myocardial infarction, acute venous thrombosis