gynecology and obstetrics
Intrauterine Device (IUDs; IUD)
Contraindications
Most women can use an IUD. Contraindications include the following: Anatomic abnormalities that distort the uterine cavity Current pelvic infection, usually Pelvic Inflammatory Disease (PID) (PID), mucopurulent Unexplained Vaginal Bleeding None Pregnancy Gestational Trophoblastic Disease with persistently elevated serum beta– Known Cervical Cancer or -releasing IUDs, Breast Cancer or allergy to T380 IUDs, Wilson Disease or allergy to Conditions that do not contraindicate IUDs include the following: Contraindications to contraceptives that containestrogen(eg, history of venous thromboembolism, smoking > 15 cigarettes a day in women > 35, migraine with aura, migraine of any type in women > 35) A history of PID, STIs, or ectopic pregnancy Breastfeeding Adolescence The patient's personal beliefs about abortion because IUDs are not abortifacients (however, acopperor 52-mglevonorgestrel-releasing IUD used for emergency contraception may prevent implantation of the blastocyst, possibly terminating a viable pregnancy) 