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Contraception - Management
When can the copper intrauterine device (IUD) be inserted?
- Provided that it is reasonably certain that the woman is not pregnant, a copper intrauterine device (IUD) can be inserted:
- At any time during the menstrual cycle.
- Postpartum (irrespective of mode of delivery): 4 weeks after delivery.
- Immediately after first- or second-trimester abortion, or at any time thereafter.
- If there is a delay before the IUD 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.
- When replacing an IUD, consider delaying replacement if the woman has recently had unprotected sexual intercourse.
In depth
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