Long Acting Reversible (LARCs)
Intra uterine devices (IUD or IUCD)
Non Visible Threads
Non – Fundally placed IUCDs
- Contraceptive efficacy may be compromised.
- Decision to remove and replace a device is a matter of individual clinical judgement and discussion with the woman considering her individual circumstances
Pregnancy & Presence of Actinomyces-like Organisms
- Women who are pregnant with IUCD in situ-:
- At greater risk of adverse pregnancy outcomes.
- Spontaneous abortion, preterm delivery, septic abortion and chorioamnionitis
- REMOVAL of IUCDs may help to improve outcome
- Ectopic pregnancy need to be excluded
- Actinomyces like organisms on pap smear in asymptomatic women DO NOT require removal of IUCDs
Suspected Pelvic Infection & Perforation
- IUCDs removal is NOT routinely required in women with PID but should be remove if there is no response to treatment (Approx 72 hrs)
- If there is any possilbilty of perforation, ultrasound scan and if indicated plain abdominal & pelvic xray should be arranged.
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