Are there any specific tests or examinations that must be performed prior to inserting an intrauterine contraceptive device (IUCD)?
Ideally all candidates for IUCD insertion should be screened for sexually transmitted diseases (STD) at an earlier visit so that appropriate treatment may be given before the insertion. If this is not possible, the cervix should be carefully inspected, and the uterus and tubes and ovaries palpated before IUCD insertion. If there is any purulent discharge or pelvic tenderness, insertion should be deferred and appropriate vaginal and cervical samples obtained for STD screening. Bimanual pelvic examination also serves to determine the size, position and shape of the uterus. Sounding the uterus to determine the direction and depth of the endometrial cavity, and to rule out any major distortions within the cavity is important before IUCD insertion.
Related Questions
- When should a perforated intrauterine contraceptive device (IUCD) be removed if the situation is discovered when a woman is pregnant?
- What should be done if a woman experiences amenorrhoea or a delayed period with an intrauterine contraceptive device (IUCD) in situ?
- What follow-up is required after insertion of an intrauterine contraceptive device (IUCD)?
