Birth Control Intrauterine Devices (IUDs) (cont.)
Women who should not use an IUD
- Women who are pregnant or who have abnormal bleeding or
cancer of the cervix or cancer of the uterus should not use IUDs.
- Women who have had pelvic inflammatory disease, gonorrhea, or chlamydia within the past 12 months should also not use an IUD. Women with other current reproductive organ infections should not use an IUD until their infection is resolved and their doctor says that an IUD can be used safely.
- Women with increased susceptibility to infections, such as those with
AIDS, and those who use intravenous (IV) drugs should not use IUDs.
- If a woman has abnormalities of the cervix, uterus, or ovaries that would make insertion dangerous, an IUD is not appropriate.
- Women who are allergic to copper, are having heat treatments, or who have Wilson disease (a rare disease in which copper accumulates in body tissues) should not use the copper IUD.
- For women who have heart disease, an artificial heart valve, or a ventricular septal defect that has not been repaired, a doctor will carefully evaluate whether an IUD is appropriate because of the possibility of infection.
- According to Planned Parenthood, because untreated infections associated with IUDs may cause infertility or difficulty becoming pregnant, IUDs are generally not recommended for women who have not yet had any children who may want them, women who want more children, and women who have had difficulty conceiving. However, in their discussion of IUDs, the Reproductive Health Technologies Project disagrees with this claim because IUDs are easily reversible.
Francisco Talavera, PharmD, PhD
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