Table 17-7. Contraindications to IUD use

Absolute contraindications

Pregnancy

Acute or subacute pelvic inflammatory disease or purulent cervicitis


Relative contraindications

History of pelvic inflammatory disease since the last pregnancy

Lack of available follow-up care

Menorrhagia or severe dysmenorrhea (copper IUD)

Cervical or uterine neoplasia

Abnormal size or shape of uterus, including myomas distorting cavity


* IUD = intrauterine device.