|
Condition
|
Category
|
|
Initiation
|
Continuation
|
|
Current
STI, PID or purulent cervicitis
|
4
|
2
|
|
High individual
risk of STI
|
3
|
2
|
|
AIDS
|
3
|
2
|
|
AIDS and
clinically well on ARV
|
2
|
2
|
|
HIV positive
|
2
|
2
|
|
Increased
risk of STI
|
2
|
2
|
|
The presence of STIs or AIDS, or a risk for these conditions,
can affect initiation and use of the IUD.
Women with current STIs (gonorrhea or chlamydia), PID or purulent
cervicitis should not have an IUD inserted (category 4). After
the infection is cured, IUD insertion may be considered if it
remains a desired method. In the meantime, women should be provided
with another contraceptive method, preferably the condom, and
partner treatment should be discussed. However, if the woman
acquires an STI or develops PID while using an IUD, she can
be treated with the IUD in place (category 2).
The following are conditions that fall into WHO category 3,
when initiation of the IUD is usually not recommended unless
other more appropriate methods are not available or not acceptable
to the client:
- High individual risk of STIs
- AIDS
IUD users who develop AIDS or whose individual risk of STIs
becomes high can continue using the method (category 2). They
should be counseled to use condoms in addition to the IUD to
prevent infection transmission.
Women with increased risk of STIs/HIV or who are HIV-positive
can generally initiate and use an IUD. Research has found no
increased risk of acquiring or transmitting HIV associated with
IUD use. Also, it was shown that complication rates, including
infection-related complications, were similar in HIV-infected
and uninfected women. Women with AIDS who are doing clinically
well on antiretroviral therapy (ARV) can also initiate and use
an IUD.
|
