CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010
CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010
CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010
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64 MMWR June 18, <strong>2010</strong><br />
Appendix F<br />
Classifications <strong>for</strong> Copper Intrauterine Devices <strong>for</strong><br />
Emergency Contraception<br />
A copper IUD (Cu-IUD) can be used within 5 days of<br />
unprotected intercourse as an emergency contraceptive.<br />
However, when the time of ovulation can be estimated, the<br />
Cu-IUD can be inserted beyond 5 days after intercourse, if<br />
necessary, as long as the insertion does not occur >5 days after<br />
ovulation.<br />
The eligibility criteria <strong>for</strong> interval Cu-IUD insertion also<br />
apply <strong>for</strong> the insertion of Cu-IUDs as emergency contraception<br />
(Box). Cu-IUDs <strong>for</strong> emergency contraception do not<br />
protect against sexually transmitted infections (STIs) or human<br />
immunodeficiency virus (HIV).<br />
BOX. Categories <strong>for</strong> Classifying Cu-IUDs as Emergency Contraception<br />
1 = A condition <strong>for</strong> which there is no restriction <strong>for</strong> the use of the contraceptive method.<br />
2 = A condition <strong>for</strong> which the advantages of using the method generally outweigh the theoretical or proven risks.<br />
3 = A condition <strong>for</strong> which the theoretical or proven risks usually outweigh the advantages of using the method.<br />
4 = A condition that represents an unacceptable health risk if the contraceptive method is used.<br />
TABLE. Classifications <strong>for</strong> copper intrauterine devices <strong>for</strong> emergency contraception* †<br />
Condition Category Clarifications/Evidence/Comments<br />
Pregnancy 4 Clarification: IUD use is not indicated during pregnancy and should not be used because<br />
of the risk <strong>for</strong> serious pelvic infection and septic spontaneous abortion.<br />
Rape<br />
a. High risk <strong>for</strong> STI 3 Comment: IUDs do not protect against STI/HIV or PID. Among women with chlamydial<br />
infection or gonorrhea, the potential increased risk <strong>for</strong> PID with IUD insertion should be<br />
avoided. The concern is less <strong>for</strong> other STIs.<br />
b. Low risk <strong>for</strong> STI 1<br />
* Abbreviations: IUD = intrauterine device; Cu-IUD = copper IUD; STI = sexually transmitted infection; HIV = human immunodeficiency virus; PID = pelvic<br />
inflammatory disease<br />
†<br />
Cu-IUDs <strong>for</strong> emergency contraception do not protect against STI/HIV. If risk exists <strong>for</strong> STI/HIV (including during pregnancy or postpartum), the correct<br />
and consistent use of condoms is recommended, either alone or with another contraceptive method. Consistent and correct use of the male latex condom<br />
reduces the risk <strong>for</strong> STIs and HIV transmission.
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