Testing for sexually transmitted infections at intrauterine device insertion: An evidence-based approach

Carolyn B. Sufrin, Sarah H. Averbach

Research output: Contribution to journalReview articlepeer-review

Abstract

This article reviews evidence to guide safe and cost-effective testing for asymptomatic Neisseria gonorrhea and Chlamydia trachomatis infection before inserting intrauterine devices (IUDs). All women should be screened with a history and pelvic examination before IUD insertion, but only high-risk women need a laboratory test; this includes women aged 25 years or younger with no test within the last year, and women with additional behavioral risk factors. If testing is indicated, it should be done on the same day as insertion not a separate visit. Women with positive test results should be treated as soon as results are available.

Original languageEnglish (US)
Pages (from-to)682-693
Number of pages12
JournalClinical obstetrics and gynecology
Volume57
Issue number4
DOIs
StatePublished - Jan 1 2014

Keywords

  • Intrauterine device insertion
  • Pelvic inflammatory disease
  • Screening
  • Sexually transmitted infection
  • Testing

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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