Using Clinical Judgment in Special Cases
Usually, a woman with any of the conditions listed below should not have an IUD inserted. In special circumstances, however, when other, more appropriate methods are not available or acceptable to her, a qualified provider who can carefully assess a specific woman’s condition and situation may decide that she can use an IUD. The provider needs to consider the severity of her condition and, for most conditions, whether she will have access to follow-up.
- Between 48 hours and 4 weeks since giving birth
- Noncancerous (benign) gestational trophoblast disease
- Current ovarian cancer
- Is at very high individual risk for STIs at the time of insertion
- Has severe or advanced HIV clinical disease
- Has systemic lupus erythematosus with severe thrombocytopenia