Accepted
at 9:49 p.m. Nov, 30, 2024
by
andrewmathias8
Author:
jla001
Type of change:
Updated content
Rationale for change
Currently, the text field is ambiguous as to whether or not cervicitis is an indication to remove an IUD. As clarified by the extra field (“ the IUD does not need to be removed while the infection is treated”), the answer is no.
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After
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Extra
- Use a progestin implant (e.g., Nexplanon, Implanon) instead
- If a symptomatic pelvic infection is suspected at the time of IUD insertion, it should be delayed
- Women diagnosed with asymptomatic gonorrhea or chlamydia cervicitis on screening at the time of IUD insertion should be treated per standard guidelines. The IUD does not need to be removed while the infection is treated
- If bacterial vaginosis, trichomonosis, or vaginal candidosis are diagnosed at the time of IUD insertion, the IUD can be inserted and treatment of the infection is started at the same time
Photo credit: GerardM, Wikimedia Commons, CC BY-SA 3.0; the supplementary image with overlays of the relevant areas was adapted from the image mentioned previously, licensed under CC BY-SA 3.0
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