Provided that it is reasonably certain that the woman is not pregnant, the IUS may be inserted (2):
Emergency drugs including anti-epileptic medication should be available at the time of IUS insertion in a woman with epilepsy because there may be an increased risk of a seizure at the time of cervical dilation
Before inserting a Mirana coil (IUS) test for (2):
Advice at time of fitting (2):
Circumstance | Timing of Insertion | Additional contraceptive precautions required |
All circumstances | Any time in menstrual cycle if reasonably certain the woman is not pregnant or at risk of pregnancy (outside terms of product licence after Day 7) | Yes, required for 7 days unless inserted in the first 7 days of the menstrual cycle |
Postpartum (including post- Caesarean section and breastfeeding) | Any time after 4 weeks postpartum and it is reasonably certain the woman is not pregnant or at risk of pregnancy (outside product licence which says 6 weeks) | Yes, required for 7 days unless inserted in the first 7 days of menstrual cycle or if fully meeting LAM criteria |
Following abortion (all induced or spontaneous abortions < 24 weeks' gestation) | Post-surgical abortion IUC: ideally should be inserted at the end of the procedure Post-medical abortion IUC: can be fitted any time after completion of the second part of the abortion (i.e. passage of products of conception confirmed by clinical assessment and/or local protocols) | If an LNG-IUS is fitted after Day 7 post-abortion, additional precautions are required for 7 days |
Following administration of oral EC | Should not be inserted following administration of oral EC until pregnancy can be excluded as above | Not applicable |
Notes:
Reference:
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