Chapter 11 Download Chapter
Who Can and Cannot Use Levonorgestrel IUDs
Nearly All Women Can Use LNG-IUDs
LNG-IUDs are safe and effective for nearly all women, including women who:
- Have or have not had children
- Are married or 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
- Have HIV clinical disease that is mild or with no symptoms, whether or not they are on antiretroviral therapy (see LNG-IUD for Women With HIV)
Avoid Unnecessary Procedures
(see Importance of Procedures in Chapter 26 – Family Planning Provision)
Women can begin using IUDs:
- Without cervical cancer screening
- Without a breast examination
- Without a blood pressure check
A pelvic examination and an STI risk assessment are essential. When available, a hemoglobin test and laboratory tests for STIs including HIV can contribute to safe and effective use. |