The website is launched on 29 June 2018

Long Acting Reversible (LARCs)

Intra uterine devices (IUD or IUCD)

What assessment is needed prior to IUCD insertion?

  • Clinical assessment- Full medical history and assess eligibilty using WHOMEC
  • Additional investigations such as ultrasound, FBC etc only when indicated.
  • STI Risk Assessment:
  • Risk factors include:
    1) Being sexually active and aged less than 25
    2) having a new sexual partner in the last 3 months
    3) having more than one sexual partner in the last one year
    4) having a regular partner who has other sexual partners
    5) A history of STIs
    6) Attending as a previous contact of STI
    7) Alcohol/substance abuse

STI screen

  • Should be offered to all women who are identified to be at risk of STI when requesting an IUCD.
  • Minimum requirement:
    • Chamydia trachomatis testing
    • Most settings C. trachomatis and Neissseria Gonorrhoea can be sent by endocervical swab via PCR methods.
    • Urine specimen are NO longer recommended for STI testing in women
    • Syphilis, HIV and Hep B can be offered routinely
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