What are the guidelines for use of intrauterine devices (IUDs)?

Updated: Nov 29, 2018
  • Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

The World Health Organization and the Centers for Disease Control and Prevention (CDC) have developed guidelines for practitioners regarding IUD use in a variety of clinical circumstances. [7, 8] IUDs are considered appropriate for the majority of women, including nulliparous women and adolescents. Both immediate postpartum insertion (within 10 minutes of placental delivery) and delayed postpartum insertion (within 4 weeks of placental delivery) are acceptable. Similarly, postabortion (spontaneous or elective) insertion is acceptable.

IUD use is safe in women with the following conditions:

Also, women with a history of sexually transmitted infections or a history of pelvic inflammatory disease may safely use an IUD, provided they have been treated and a test of cure has been obtained. [7, 8, 9] .


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