Newest IUD Guidlines from ACOG and What They Mean for Patients

ACOG just released it's practice update for IUD use, and the guidelines we follow at Women's Health Practice. Many of the prior recommendations and principals were not significantly changed. ACOG feels that as a method of contraception there are few contraindications and most of the updates have to do with specific recommendations around special situations. Here is a summary and what it may mean:
  •  An IUD may be inserted immediately after a miscarriage in the first or second trimester, on the same day as a surgical abortion, and immediately after a medication-induced abortion, and on the same day as first-trimester or second-trimester induced or spontaneous abortion. 
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  •  Women do not need to take an antibiotic routinely just for IUD insertion, so less likelihood of getting a yeast infection just to get your IUD
  • You can get your IUDs at any time during the menstrual cycle, and insertion is no more difficult one day verses the other
  • You can get your IUD and your yearly sexually transmitted infection (STI) screening recommended by the Centers for Disease Control and Prevention during a single visit
  • Women with a history of ectopic pregnancies can safely use the IUDs.
  • It is not necessary to remove an IUD or implant before its expiration date in women who are menopausal
  • If you have a reason to have a cervical or uterine biopsy it can be done around the IUD and your IUD would not need to be removed.

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