Pelvic Inflammatory Disease After Intrauterine Device Placement Is Rare

IUD placement before receipt of STD screening results does not raise PID risk.

To evaluate the relation between screening for cervical infection with Neisseria gonorrhea or Chlamydia trachomatis and risk for pelvic inflammatory disease (PID) within 90 days of intrauterine device (IUD) placement, researchers conducted a retrospective cohort study of 57,728 IUD placements at Kaiser Permanente Northern California from January 2005 through August 2009.

Rates of PID were similar whether or not women had been screened for sexually transmitted diseases (STDs) during the year before IUD placement. Overall, about 1 of every 200 women developed PID within 90 days of IUD placement. Of women who were screened for STDs, 19% were screened on the same day their IUDs were placed; rates of PID were equivalent with same-day screening (0…

Reviewing Author

Eleanor Bimla Schwarz, MD, MS

Disclosures

Consultant/Advisory BoardPlanned Parenthood Federation of America

Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program

Editorial BoardsContraception; Journal of General Internal Medicine

Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine