Testing for sexually transmitted infections at intrauterine device insertion: an evidence-based approach.

Abstract

This article reviews evidence to guide safe and cost-effective testing for asymptomatic Neisseria gonorrhea and Chlamydia trachomatis infection before inserting intrauterine devices (IUDs). All women should be screened with a history and pelvic examination before IUD insertion, but only high-risk women need a laboratory test; this includes women aged 25 years or younger with no test within the last year, and women with additional behavioral risk factors. If testing is indicated, it should be done on the same day as insertion not a separate visit. Women with positive test results should be treated as soon as results are available.

• Authors: Carolyn B Sufrin, Sarah H Averbach
• Journal: Clinical obstetrics and gynecology (Clin Obstet Gynecol) Vol. 57 Issue 4 Pg. 682-93 (Dec 2014) ISSN: 1532-5520 [Electronic] United States
• PMID: 25222531 (Publication Type: Journal Article, Review)

Topics

• Adolescent
• Adult
• Asymptomatic Infections
• Chlamydia Infections (diagnosis)
• Evidence-Based Medicine
• Female
• Gonorrhea (diagnosis)
• Humans
• Intrauterine Devices
• Mass Screening
• Pelvic Inflammatory Disease (prevention & control)
• Practice Guidelines as Topic
• Young Adult