Contraceptive Technology and Reproductive Health Series: Home Page Contraceptive Technology and Reproductive Health Series Back to FHI Website
Intrauterine Devices (IUDs)
Introduction Contents Post-Test References Go To Presenter Info

Goals

Section 1
Section 2

- Introduction
- Objectives
- Goals
- Eligibility Criteria
- Who Can Use
- Conditions
> STIs/HIV/AIDS
- Counseling
- Myths
- Side Effects
- IUD Use
- Complications
- Complications

Section 3

Summary

Previous pageNext page

Section 2 - Client Screening and Counseling

STIs/HIV/AIDS Can Affect IUD Eligibility

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

 

WHO, 2004.
Slide 25


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.

 

Back

Previous page      Next page

Next