Is there tenderness in the uterus, ovaries, or fallopian tubes (adnexal tenderness)?
No Yes – possible STI or PID. 5. Does the cervix bleed easily when touched? No Yes – possible STI or cervical cancer. 6. Is there an anatomical abnormality of the uterine cavity that will prevent correct IUD insertion? No Yes – if an anatomical abnormality distorts the uterine cavity, proper IUD placement may not be possible. Help her choose another method. 7. Were you unable to determine the size and/or position of the uterus? Determining the size and position of the uterus before IUD insertion is essential to ensure high placement of the IUD and to minimize risk of perforation. If size and position cannot be determined, do not insert an IUD. Help her choose another method. Intrauterine Devices for Women With HIV • Women who are at risk of HIV or are infected with HIV can safely have the IUD inserted. • Women who have AIDS, are on antiretroviral (ARV) therapy, and are clinically well can safely have the IUD inserted. • Women who have AIDS but who are not on ARV therapy or who are not
