Contraindications to the Use of IUDS
Absolute contraindications to IUD use are current pregnancy; undiagnosed abnormal vaginal bleeding; acute cervical, uterine, or salpingeal infection; past salpingitis; and suspected gynecologic malignancy. Relative contraindications include nulliparity or high priority attached to future childbearing; prior ectopic pregnancy; history of STDs; multiple sexual partners; moderate or severe dysmenorrhea; congenital anomalies of the uterus or other abnormalities such as leiomyomas; iron deficiency anemia (for the copper IUD); valvular heart disease; frequent expulsions or problems with prior IUD use; age younger than 25 years (due to higher prevalence of Chlamydia infections); and Wilson’s disease (if a copper IUD is contemplated).
Suitable Candidates for an IUD
The most suitable candidates for IUD use are parous women in a mutually monogamous relationship who do not have a current or prior history of STDs or salpingitis. Other potential candidates include women desiring a method of high efficacy that is free of daily or coitally related activity and women who cannot use hormonal contraception due to side effects or medical conditions. Studies among diabetic IUD users have shown that use is highly effective with no increase in rate of pelvic infection.
Finally, it should be noted that several surveys of women using contraceptives indicate that IUD users are highly satisfied with their method.
Indications for Removal of an IUD
The major reason for IUD removal is desire for pregnancy. Medical reasons for removal are partial expulsion, usually occurring in the first few months of use; persistent cramping, bleeding, or anemia, accounting for about 20% of removals during the first 3 months; acute salpingitis or Actinomyces infection on Pap smear; pregnancy (for the reasons previously cited); intra-abdominal placement/perforation; and significant postinsertion pain, which may indicate improper placement or partial perforation.
- Methods of contraception
Revision date: Sept. 19, 2012
Last revised: by Alexander D. Davtyan, M.D
|Comments||[ + Post Your Own ]|
Now you're in the public comment zone. What follows is not Armenian Medical Network's stuff; it comes from other people and we don't vouch for it. A reminder: By using this Web site you agree to accept our Terms of Service. Click here to read the Rules of Engagement.
There are no comments for this entry yet. [ + Comment here + ]
We are pleased to let readers post comments about an article. Please increase the credibility of your post by including your full name and email.
All comments are reviewed by our editors before they are posted on the site. Just keep it clean, kids.
|Top Erectile Dysfunction Drugs|
|Viagra | Levitra | Cialis|
Causes of ED
Male Sexual Dysfunction
Gender Identity Disorder of Adulthood
Paraphilias and Paraphilia-Related Disorders