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Unacceptable
4 Method not to be used
health risk
Category
Condition
Initiation Continuation
Current STI, PID or
4 2
purulent cervicitis
High individual risk of
3 2
STI
AIDS 3 2
AIDS and clinically
2 2
well on ARV
HIV positive 2 2
Increased risk of STI 2 2
IUD Counseling Topics
• Characteristics of IUDs
• Client’s risk of STIs
• Effectiveness and how the IUD works
• Insertion and removal procedures
• Instructions for use and follow-up visits
• Possible side effects and complications
• Signs of possible complications
Reducing Risks During Insertion
• Characteristics of IUDs
Mild:
••recommend
Client’s risk ibuprofen
of STIs or other pain reliever
• Effectiveness
Severe and how the IUD works
or prolonged:
••examine
Insertionfor
andpartial expulsion,
removal perforated
procedures
•uterus or PID for use and follow-up visits
Instructions
••remove
PossibleIUD if cramping
side is complications
effects and unacceptable to
client
• Signs of possible complications
Management of STIs and PID
IUDs are:
• safe, effective, convenient, reversible,
long lasting, cost effective, easy-to-use
Providers can ensure safety by:
• careful screening
• informative counseling
• good infection prevention
• proper follow-up