Is there an increase rate of ectopic pregnancy if the patient has an intrauterine contraceptive device (IUCD) in situ?

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Is there an increase rate of ectopic pregnancy if the patient has an intrauterine contraceptive device (IUCD) in situ?

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No. Women using an IUCD have between one-half and one-fifth of the risk of ectopic pregnancy faced by a woman using no contraception. This translates into an incidence in IUCD users of less than 1.5 ectopic pregnancies per 1,000 woman-years of use. Nevertheless, because of the potential seriousness of the diagnosis a woman who conceives with an IUCD in place should have a diagnosis of ectopic pregnancy excluded. However when a pregnancy results from a contraceptive failure, ectopic pregnancy is more likely in IUCD users than in women using other methods of contraception.

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Women using an IUCD have between one-half and one-fifth of the risk of ectopic pregnancy faced by a woman using no contraception. This translates into an incidence in IUCD users of less than 1.5 ectopic pregnancies per 1,000 woman-years of use. Nevertheless, because of the potential seriousness of the diagnosis a woman who conceives with an IUCD in place should have a diagnosis of ectopic pregnancy excluded.

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