Background: Contraceptives as IUD method can enhance women's and public health, but may be terminated due to occurance of some problems as sexual problems and genital infection Aim: To assess self-care practices and sexual life pattern among copper IUD user at Assiut city. Methods: Descriptive research design was used, sample size convience sample involved 500 women IUD's users, study was conducted at family planning outpatient clinic, Woman's Health Hospital, and Qlta Maternal and Child Health Care center and Mabra Hospital, Eleman hosital Assiut, Egypt. Data was collected by using interview questionnaire. Results: Study shows that 67.6% of studied women have a satisfactory practices. Regarding sexual life pattern about 26% of women complain from differences in libido after using IUD, 24.4%, 21.2%, 23.6%, 20.0%, 26.8%, and 25.8 % of women have a difference in sexual desire, difficulty in vaginal wetting during cotius, difficultly reach orgasm, woman's don't satisfied at the end of sexual relationship, husband don't satisfied at the end of sexual relationship, and dysparenia respectivelly. Conclusion: IUD's users had insufficient self care practices and there have some form of sexual pattern affected by using IUD as a contraceptive method. Recommendations: Educational program about self care practices and sexual pattern for IUD users should be provided. Counselling from health care provider about self care practice