<p>Intrauterine Device OB-GYN 101 ©2003 Modern IUDs are easily inserted, symptoms. Infertility following there is an increased likelihood have a very high effectiveness such mild infections is that it will be an ectopic. rate (98-99%), and are well- uncommon. With the less tolerated by most of the women common, serious infections, IUD Candidates: A good who use them. Their recovery is generally slow candidate for an IUD is:an older effectiveness varies with type, (weeks) and infertility is a distinct woman with children, who is in but some are effective for 10 possibility. a stable, mutually years or longer. monogamous sexual Perforation: The overall risk is relationship, and who is not Most IUDs tend to make about 1 in 1,000. Most of these planning additional menstrual flows somewhat occur during the insertion of the pregnancies. heavier, crampier and longer. IUD or shortly thereafter. A bad candidate for an IUD is: a Infection: Sooner or later, 3-5% Pregnancy young woman with no children, of IUDs will be removed because If pregnancy occurs, it is with multiple sexual partners, of infection. Most of these important to remove the IUD with a history of PID in the infections are minor. Treatment immediately (that day). past, who would like to have generally involves prompt children at some time in the removal of the IUD, oral broad Ectopic Pregnancy future. spectrum antibiotics and Should a pregnancy occur complete resolution of despite the presence of an IUD, Contraindications to IUD use  Genital actinomycosis include:</p><p> Known or suspected pregnancy  Known distortion of the uterine cavity  PID past or current  Pregnancy-related infection within the last 3 months  Known or suspected cervical cancer  Undiagnosed vaginal bleeding  Current cervicitis or vaginitis until effectively treated  Wilson's disease  Allergy to copper  Impaired immune system</p>