Background: Intrauterine device is the most commonly used method of long-acting reversible contraception. Aim: The aim of the present study is to; assess the effect of nursing counseling on the continuation rate of using intra uterine device Subjects and Method: Design: a quasi-experimental design was used in this study. Setting:  Study carried out at six primary health care centers in Damietta governorate in Damietta city. Subjects:  A total of 150 women who attended family health centers for IUD insertion were purposively selected and divided to two group; control and study group. Tools of data collection: It includes; structured interview with pre and post test, and Follow up test. Results: The current study shows that the majority of women in both study and control group (96%) and (90%) respectively continued use of IUD. Counseling was associated with statistically significant improvement in women's knowledge. Conclusion: The majority of women in both control and study group continued using IUD after six months from receiving counseling. The main reason for discontinuation in the study group was husband travel but in control group was side effect. Counseling was associated with statistically significant improvement in women's knowledge regarding IUD.  Recommendations: continuous training of health providers to provide good family planning services, continuous information provision and counseling to the women, especially on the side effects.