Appendix F: Management of Intrauterine Devices When Users are Found To Have Pelvic Inflammatory Disease*

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  • Treat PID.
  • Counsel about condom use.
  • IUD does not need to be removed.

Woman wants to continue IUD.

Woman wants to discontinue IUD.

Reassess in 48-72 hours.

Remove IUD after beginning antibiotics.

Clinical improvement

No clinical improvement

  • Offer another contraceptive method.
  • Offer emergency contraception.

Continue IUD.

  • Continue antibiotics.
  • Consider removal of IUD.
  • Offer another contraceptive method.
  • Offer emergency contraception.

Abbreviations: IUD = intrauterine device; PID = pelvic inflammatory disease.

* Treat according to CDC’s STD Treatment Guidelines (available at https://www.cdc.gov/std/treatment).

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