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Contraception - Management
When can the levonorgestrel-releasing intrauterine system (IUS) be inserted?
- Starting the levonorgestrel-releasing intrauterine system (IUS):
- Ideally insert the device in the first 7 days after the onset of menstruation.
- Additional contraceptive protection will not be required.
- However, if this is not possible:
- Insert the device at any other time in the menstrual cycle provided that it is reasonably certain that a woman is not pregnant. This is an unlicensed use. Advise barrier contraception (such as condoms) for the next 7 days.
- Alternatively, use a hormonal method in the interim, so the fitting can be scheduled for any mutually convenient time.
- If there is a delay before the IUS can be fitted, combined hormonal contraception (pill, patch, or vaginal ring [not suitable post-partum if the woman is breastfeeding]), the progestogen-only pill, or the progestogen-only injectable can be used as a bridging method.
- Replacing the device:
- Insert at any time of the menstrual cycle.
In depth
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