Contraindications of IUDsCurrent pregnancyAcute cervical, uterine, or salpingealinfectionSuspected gynecologic malignancyPolymenorrhea(月经频发),hypermenorrhea(月经过多)，or undiagnosedabnormal vaginal bleedingSevere cervical relaxation, laceration orstenosis, or severe uterine prolapseCongenital anomalies of the genital organsUterine cavities sound to <5.5cm or >9cm
⚫ Current pregnancy ⚫ Acute cervical, uterine, or salpingeal infection ⚫ Suspected gynecologic malignancy ⚫ Polymenorrhea(月经频发), hypermenorrhea(月经过多), or undiagnosed abnormal vaginal bleeding ⚫ Severe cervical relaxation, laceration or stenosis, or severe uterine prolapse ⚫ Congenital anomalies of the genital organs ⚫ Uterine cavities sound to <5.5cm or >9cm Contraindications of IUDs
Contraindications of IUDsSevere acute or chronic general diseasesHistory of STDsPelvic tuberculosisHigh risk of infection or bleeding afterinduced abortion or delivery Copper allergic historyPrior ectopic pregnancyMultiple sexual partners
Contraindications of IUDs ⚫ Severe acute or chronic general diseases ⚫ History of STDs ⚫ Pelvic tuberculosis ⚫ High risk of infection or bleeding after induced abortion or delivery ⚫ Copper allergic history ⚫ Prior ectopic pregnancy ⚫ Multiple sexual partners
Time of IUD insertion3-7 days after menstrual bleeding stopswithout sexual intercourse42 days after vaginal delivery when perinealwound heal well and the uterus involute tonormal size6 months after c-sectionMirena should be inserted on the third dayofmenstrualbleeding
Time of IUD insertion ⚫ 3-7 days after menstrual bleeding stops, without sexual intercourse ⚫ 42 days after vaginal delivery when perineal wound heal well and the uterus involute to normal size ⚫ 6 months after c-section ⚫ Mirena should be inserted on the third day of menstrual bleeding
Insertion of the round iUD
Insertion of the round IUD
Insertion of the uterine-shaped IUD图7-4宫形环放置
Insertion of the uterine-shaped IUD