Clinical inquiries. What are contraindications to IUDs?
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).
Paladine
Heather L
HL
University of Southern California/Keck School of Medicine, Los Angeles, CA, USA.
Blenning
Carol E
CE
Judkins
Dolores Zegar
DZ
Mittal
Shashi
S
D001424:Bacterial Infections / Q000209:etiology; D002986:Clinical Trials as Topic; D000075202:Contraindications; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007246:Infertility / Q000209:etiology; D007434:Intrauterine Devices / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000209:etiology; D012307:Risk Factors; D014591:Uterine Diseases / Q000209:etiology