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
- 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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