Abstract: The intrauterine contraceptive device (IUCD) is the world's most widely used spacing method of reversible birth control. Client-centered contraceptive counseling is critical to meet the demand for contraception and protecting human rights. The aim of this study was to; assess the impact of women-centered counseling on intrauterine contraceptive device satisfaction and continuation. A Quasi experimental design was selected in carrying out this study and a purposive sample of 200 women (100 received the women-centered counseling program about IUD) and 100 received the routine care of the health agency) were recruited for this study. Data collection consisted of; a structured interview sheet, assessment of women knowledge about IUCD sheet, assessment of believed rumors or misconceptions about IUCD sheet, the schedule of the follow up at the third and six months sheet and women satisfaction scale. Results; revealed that the higher percentage of women in both the study and control groups was between the ages of 25 to less than 35 years (50.0% and 41.0%). The difference observed is not statistically significant. The implementation of women centered counseling program was successful in improving their knowledge and correction of believed rumors of IUD compared to the pretest. The study group suffered from lesser side effects and complications during the follow up phases compared to the control group. Also, backache and genital tract infections were more common in the control group in comparison with the study group with statistical significant difference. The great majority of women (93.0%) in the study group had continuous use of IUD until the 6 month compared to 68.0% in the control group with statistical significant difference. The vast majority of women in the study group were highly satisfied from the provided services, the services provider and the method itself (92.0%, 100.0% and 82.0% respectively). It can be concluded that, women who received counseling program on IUCD shows better satisfaction and continuation than those who did not receive it. The study recommended that, counseling program is recommended for women because it increase IUD uptake, decrease early removal of IUD and increase continuation and satisfaction for IUD use.