Who are the best candidates for intrauterine devices (IUDs)?

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The most important consideration when choosing an IUD is a woman's likelihood of developing a sexually transmitted disease such as gonorrhea or chlamydia. If a woman develops a sexually transmitted disease, and she has an IUD in place, she may have a higher risk that the infection will spread from the cervix to the upper reproductive organs (uterus, fallopian tubes, and ovaries) a condition called pelvic inflammatory disease (PID). PID can lead to infertility and other complications. This means the best candidates for using an IUD are women in steady relationships, whose partners are reliable and monogamous (neither partner having sex with anyone else), as they have a very low rate of developing an STD. Age is also a factor. IUDs are generally not advised for teenagers, as they have a higher rate of STDs, and they are also more likely to report more menstrual pain and bleeding and rejection of the IUD compared to women older than 20. Top Can you change your mind after having a tubal ... more
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