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a) Yes, the IUD may be inserted for clients with cervical ectopy/ectropion, if not at risk of sexually transmitted diseases and the pelvic exam is normal (no cervicitis).
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a) Cervical ectropion (the presence on the ectocervix of columnar epithelial cells from the endocervix) is a normal condition in adolescents and in pregnancy, and is distinct from cervical infection.
- Paavonen J, Koutsky LA, Kiviat N. Cervical neoplasia and other STD-related genital and anal neoplasias, in Holmes KK, Mårdh P, Sparling PF, Wiesner PJ, Cates W, Lemon SM, Stamm W (eds). Sexually Transmitted Diseases. New York, McGraw-Hill Book Co., 1984, pp 561-592.
IUD insertions and continued use of the IUD have no relation to risk of cervical carcinoma.
- Lassise DL, Savitz DA, Hamman RF, Baron AE, Brinton LA, Levines RS. Invasive cervical cancer and intrauterine device use. International Journal of Epidemiology 1991;20(4):865-870.
Since chlamydia is an intracellular parasite of columnar epithelial cells, women with ectropion may be more likely to have positive chlamydia tests.
- Harrison HR, Costin M, Meder JB, Bowds LM, Sim DA, Lewis M, Alexander ER. Cervical chlamydia trachomatis infection in university women: Relationship to history, contraception, ectopy and cervicitis. American Journal of Obstetrics and Gynecology 1985;153(3):244-51.
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