Table 1.

Indications for and contraindications to use of IUDs

INDICATIONS	CONTRAINDICATIONS
Multiparous and nulliparous women seeking reliable, reversible, coitally independent contraception	Pregnancy
Women seeking long-term contraception or a contraception method requiring less compliance	Current or recent (past 3 mo) pelvic inflammatory disease or sexually transmitted infection
Women with contraindications or sensitivities to estrogen (eg, women with thromboembolisms or migraines)	Cervical or endometrial cancer, malignant trophoblastic disease
Women who are breastfeeding	Severely distorted uterine cavity
Copper IUDs: postcoital contraception up to 7 days and women with current breast cancer or liver disease	Undiagnosed vaginal bleeding
Copper IUDs: women with human immunovirus infection	Allergy to copper
LNG-IUS: women with menorrhagia, dysmenorrhea, or bleeding disorders	Puerperal or postabortion sepsis

IUDs—intrauterine devices,

LNG-IUS—levonorgestrel-releasing intrauterine system.

Data from American College of Obstetricians and Gynecologists ¹ and Black et al.²