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Recommendations for Contraceptive Use

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Levonorgestrel-Releasing IUDs

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Levonorgestrel-Releasing Intrauterine Devices

Note: Since many questions concerning LNg IUDs have the same answers as for non-hormonal IUDs, please see Copper-Bearing Intrauterine Devices for answers to the following questions:
  1. What is an appropriate follow-up schedule after IUD insertion?
  2. Is there a need for a routine pre-exam (a separate visit) before IUD insertion?
  3. Is there a minimum or maximum age to receive IUDs?
  4. Can nulliparous women receive IUDs?
  5. Is there a need for a "rest period" with IUDs after a certain period of use?
  6. If a woman is at low risk of sexually transmitted diseases (STDs) based on history, may IUDs be inserted without any lab tests if there is not mucopurulent endocervical discharge or clinically apparent pelvic inflammatory disease or cervicitis?
  7. Should an IUD be removed if the partner complains about the string?
  8. If the cervix is red due to eversion of the squamo-columnar junction (ectopy/ectropion), may the IUD be inserted without further investigation?
  9. Can IUDs be safely inserted by trained nurses and midwives?
  10. How much time should elapse between STD treatment and insertion? What about previous STD incidence?
  11. Should IUDs be provided if infection prevention measures cannot be followed?
  12. Following removal of an LNg IUD (for reasons of partial expulsion without infection, or expiration of IUD), should one wait to insert another?

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Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.


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