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 |