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Contraception - Management
For how long can a copper intrauterine device (IUD) be left in place?

  • The recommended duration of use for the copper intrauterine device (IUD) ranges from 5–10 years, depending on the device.
  • Women who are aged 40 or more years at the time of IUD insertion may retain the device until they no longer require contraception, even if this is beyond the duration of the UK Marketing Authorisation.
Clarification / Additional information
  • Use of a copper IUD after the age of 40 years
    • Advise about the decline of fertility with age, the risks associated with IUD insertion (infection, perforation, expulsion), and potential loss of contraceptive efficacy if used beyond the recommended life of the device.
    • Offer the choice to continue with the IUD, replace the IUD, and/or use an alternative method.
    • If a woman's last menstrual period occurs before she reaches 50 years of age, contraception should be continued until she has been amenorrhoeic for 2 years.
    • If a woman's last menstrual period occurs after she reaches 50 years of age, contraception should be continued until she has been amenorrhoeic for 1 year.
    • Check the Summary of Product Characteristics of individual devices for current licensed indications. Informed consent is needed when using outside the licensed indications, and should be documented in the notes.
Basis for recommendation

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