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Streptococcal bacteria and IUCD insertion (IUC)

Authoring team

  • in asymptomatic women routine screening for bacterial infection is not recommended prior to IUC insertion
    • however, cases of group A streptococcus (GAS) infection have been reported post-IUD insertion cases are rare but can include life-threatening septicaemia, invasive GAS (e.g. necrotising fasciitis) and streptococcal toxic shock syndrome
    • it is important that women found to be infected with GAS in the vagina are treated and IUC insertion delayed

      Note - there is no need to delay treatment or treat asymptomatic women who have been identified as having Group B streptococci

Reference:

  1. FSRH Guideline. Intrauterine Contraception. March 2023 (Amended January 2025)

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