Read MoreThe collective evidence, including that from a large high-quality RCT, does not indicate an increased risk of HIV acquisition among users of Cu-IUDs. human immunodeficiency virus; intrauterine devices.
Read MoreStandard IUDs (copper/gold) can be considered as conditional for MR safety at 1.5 T and 3.0 T, demonstrating at wbSAR up to 4W/kg and a magnetic field gradient of up to 40T/m with minimal imaging artifacts. The stainless steel IUD, however, induces unacceptable artifacts and is potentially harmful to patients during MRI due to high magnetic dislocation forces and torque (MR unsafe).
Read MoreBecause adolescents are at higher risk of sexually transmitted infections (STIs), obstetrician–gynecologists should continue to follow standard guidelines for STI screening. They should advise adolescents who choose LARC methods to use male or female condoms consistently (dual method use) to decrease the risk of STIs, including human immunodeficiency virus (HIV). Obstetrician–gynecologists should counsel all sexually active adolescents who do not seek pregnancy on the range of reversible contraceptive methods, including LARC, and should help make these contraceptives readily accessible to them.
Read MoreRecent levonorgestrel-IUD use may be associated with CIN2, a lesion with a high rate of regression, but not CIN3, which is considered a true pre-cancerous lesion. The observed association between levonorgestrel-IUDs and CIN2+ was modest but warrants further investigation. It may have clinical importance for contraceptive counseling if this finding is shown to be consistent across other studies and other populations.
Read MoreWomen who are obese may benefit from additional counseling and closer follow-up after IUD placement. Future research is warranted to investigate IUD placement and possible IUD migration among women who are obese.
Read MoreThe overall perforation rate was 2.1 per 1000 insertions for LNG-IUS users 1.6 per 1000 insertions for copper-IUD users……. LNG-IUS users had a borderline higher risk of perforation compared with copper-IUD users.
Forty-five (58%) of the 77 perforations were associated with suspected risk factors……
Breastfeeding…… and time since delivery remained significant risk factors in perforations detected after 12 months.
No perforations resulted in serious injury to intra-abdominal or pelvic structures.
August 2014
Obstetrics & Gynecology
