Cautions regarding use of progestogen-only intra-uterine system (IUS)

Cautions including any relevant action to be taken

• If the individual is less than 16 years of age an assessment based on Fraser guidelines must be made and documented.
• If the individual is less than 13 years of age the healthcare professional should speak to local safeguarding lead and follow the local safeguarding policy.
• Individuals taking anticoagulants or antiplatelets - refer to specific FSRH guidance.
• Individuals with cardiac arrhythmias (other than long QT) discuss with relevant clinician.

Discuss with appropriate medical/independent non-medical prescriber any medical condition or medication of which the healthcare professional is unsure or uncertain

Reference:

• Patient Group Direction (PGD) (NHS Specialist Pharmacy Service). Insertion of the Progestogen-Only Intra-Uterine System (IUS). (Accessed 17th March 2021).