Advertisement

Pelvic Inflammatory Disease After Intrauterine Device Placement Is Rare

Summary and Comment |
January 3, 2013

Pelvic Inflammatory Disease After Intrauterine Device Placement Is Rare

  1. Eleanor Bimla Schwarz, MD, MS

IUD placement before receipt of STD screening results does not raise PID risk.

  1. Eleanor Bimla Schwarz, MD, MS

To evaluate the relation between screening for cervical infection with Neisseria gonorrhea or Chlamydia trachomatis and risk for pelvic inflammatory disease (PID) within 90 days of intrauterine device (IUD) placement, researchers conducted a retrospective cohort study of 57,728 IUD placements at Kaiser Permanente Northern California from January 2005 through August 2009.

Rates of PID were similar whether or not women had been screened for sexually transmitted diseases (STDs) during the year before IUD placement. Overall, about 1 of every 200 women developed PID within 90 days of IUD placement. Of women who were screened for STDs, 19% were screened on the same day their IUDs were placed; rates of PID were equivalent with same-day screening (0.44%) or prescreening (0.99%), even in analyses adjusted for age and race.

Comment

These results indicate that intrauterine device placement should not be delayed because of prescreening for sexually transmitted diseases. Although IUD placement should be deferred when clinical evidence of cervicitis is present, same-day screening for cervical infections in women without clinical evidence of infection should be guided by risk factors and clinical guidelines — and women who have such infections should receive prompt antibiotic treatment with their IUDs in place.

Citation(s):

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.

Advertisement
Advertisement
Advertisement