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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Who Can and Cannot Use the Copper-Bearing IUD

Safe and Suitable for Nearly All Women

Most women can use IUDs safely and effectively, including women who:

  • Have or have not had children
  • Are not married
  • Are of any age, including adolescents and women over 40 years old
  • Have just had an abortion or miscarriage (if no evidence of infection)
  • Are breastfeeding
  • Do hard physical work
  • Have had ectopic pregnancy
  • Have had pelvic inflammatory disease (PID)
  • Have vaginal infections
  • Have anemia
  • Are infected with HIV or on antiretroviral therapy and doing well (see IUDs for Women With HIV)

Women can begin using IUDs:

  • Without STI testing
  • Without an HIV test
  • Without any blood tests or other routine laboratory tests
  • Without cervical cancer screening
  • Without a breast examination

Placement of an IUD in Utero