Waiting for her next menstrual period is unnecessary.Ĭomments and Evidence Summary. Timing: The Cu-IUD can be inserted immediately if it is reasonably certain that the woman is not pregnant ( Box 2).Switching from Another Contraceptive Method The Cu-IUD should not be inserted immediately after septic abortion (U.S. MEC 1 for first trimester abortion and U.S. Timing: The Cu-IUD can be inserted within the first 7 days, including immediately postabortion (U.S.The Cu-IUD should not be inserted in a woman with postpartum sepsis (e.g., chorioamnionitis or endometritis) (U.S. MEC 1 or 2) ( Box 1), if it is reasonably certain that the woman is not pregnant ( Box 2). Timing: The Cu-IUD can be inserted at any time postpartum, including immediately postpartum (U.S.Postpartum (Including After Cesarean Delivery) Need for back-up contraception: No additional contraceptive protection is needed.Timing: The Cu-IUD can be inserted at any time if it is reasonably certain that the woman is not pregnant ( Box 2).Special Considerations Amenorrhea (Not Postpartum)
No additional contraceptive protection is needed after Cu-IUD insertion.If the day of ovulation can be estimated, the Cu-IUD also can be inserted >5 days after sexual intercourse as long as insertion does not occur >5 days after ovulation. The Cu-IUD also can be inserted within 5 days of the first act of unprotected sexual intercourse as an emergency contraceptive.The Cu-IUD can be inserted at any time if it is reasonably certain that the woman is not pregnant ( Box 2).
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