Clinical inquiries. What are contraindications to IUDs?

Abstract

Based on limited evidence, use of intrauterine devices (IUDs) is not contraindicated for women with HIV/AIDS (strength of recommendation [SOR]: C), multiple sexual partners (SOR: C), previous actinomyces colonization (SOR: C), most types of fibroids (SOR: C), or previous ectopic pregnancy (SOR: C). The risk to IUD users of pelvic inflammatory disease (PID) is similar to women using no contraception (SOR: B). Nulliparous women may experience increased insertion discomfort and higher rates of expulsion (SOR: B). IUD use of <3.5 years is not associated with decreased fertility (SOR: B).

• Authors: Heather L Paladine, Carol E Blenning, Dolores Zegar Judkins, Shashi Mittal
• Journal: The Journal of family practice (J Fam Pract) Vol. 55 Issue 8 Pg. 726-9 (Aug 2006) ISSN: 0094-3509 [Print] United States
• PMID: 16882450 (Publication Type: Journal Article, Review)

Topics

• Bacterial Infections (etiology)
• Clinical Trials as Topic
• Contraindications
• Evidence-Based Medicine
• Female
• Humans
• Infertility (etiology)
• Intrauterine Devices (adverse effects)
• Prosthesis-Related Infections (etiology)
• Risk Factors
• Uterine Diseases (etiology)