Summary - Insertion of IUCD key facts:
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 (unless qualifies for use as EC) | No |
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 (unless qualifies for use as EC) | No |
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) | No |
Following administration of oral EC | Within the first 5 days (120 hours) following first UPSI in a cycle or within 5 days from the earliest estimated day of ovulation | No additional precautions required - if within the first 5 days (120 hours) following first UPSI in a cycle or within 5 days from the earliest estimated day of ovulation |
Following administration of oral EC | Outside of the above criteria Cu-IUD should not be inserted following administration of oral EC until pregnancy can be excluded by a pregnancy test no sooner than 3 weeks after the last episode of UPSI | Not applicable |
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 |
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Reference:
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