What is the best procedure for treating women with chlamydia and have or want an IUD?
I attended the Contraceptive Technology Conference this month in Atlanta. I was a little confused about the contraindication of IUD insertion with STI. Is it a pelvic inflammatory disease within 6 months or just a positive CT or GC DNA test? Since many chlamydia infections are asymptomatic if a woman has a positive culture, should we treat and wait 6 months to do the placement of the IUD? We do urine CT/GC test with all IUD insertions. Is this the best way to handle positive CT/GC within 6 months or requested IUD replacement? Thank you! Sue Healy, Nurse Practitioner If a chlamydia test is positive on the day a woman wants an IUD inserted and the woman is asymptomatic, treat the chlamydia and have the patient return for IUD insertion in several weeks. If a chlamydia test initiated at the time of IUD insertion (or in the future at the time of a checkup) is found to be positive after an IUD has already been inserted, leave that IUD in place and treat the chlamydia infection. If a symptoma
