Who is the IUCD Not Suitable for?

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Whilst the IUCD might appear to be a very convenient and hassle-free method of contraception, it is not without its side effects, and not all women are suitable for using it.

1. Absolute Contraindications (those who absolutely should not use IUCDs):

• Known or suspected pregnancy
• Active pelvic infection (including known or suspected gonorrhoea or chlamydia infections)
• Genital bleed which has yet to be diagnosed
• Genital cancers

2. Relative Contraindications (those who should preferably not use IUCDs):

• Those at increased risk of STDs (eg. those with multiple sex partners, or those whose partner has multiple sex partners)
• Recent or recurrent pelvic infections
• Single pelvic infection, in women who wish to get pregnant subsequently
• Lowered immunity, such as due to diabetes, AIDS etc.
• Menstrual bleeding of unknown cause
• History of ectopic pregnancy
• Presence of conditions which predispose to ectopic pregnancy
• Endometriosis
• Endometrial polyps
• Uterine fibroids
• Anaemia

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