title: 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.affiliation: *Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland †Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California.
authors.forename: Carolyn B
authors.initials: CB
authors.lastname: Sufrin
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Averbach
mesh_terms: D000293:Adolescent; D000328:Adult; D058345:Asymptomatic Infections; D002690:Chlamydia Infections / Q000175:diagnosis*; D019317:Evidence-Based Medicine; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis*; D006801:Humans; D007434:Intrauterine Devices; D008403:Mass Screening; D000292:Pelvic Inflammatory Disease / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D055815:Young Adult