QuestionSBA
QuestionChoice
Postpartum sepsis is an absolute contraindication (UKMEC 4) to IUD insertion due to infection risk.
10036027
a
Postpartum sepsis
QuestionChoice
Insertion of an IUD in a patient with fibroids NOT distorting the uterine cavity is UKMEC 1 (no restriction), however, if uterine distortion is present, this would be UKMEC category 3 (risks usually outweigh advantages). In both cases, fibroids are not an absolute contraindication to IUD use.
10036031
e
Uterine fibroids (not distorting uterine cavity)
QuestionChoice
Insertion of an IUD in patients with sickle cell disease is UKMEC category 2 (advantages generally outweigh risks) rather than UKMEC 4 (contraindicated)
10036030
d
Sickle cell disease
QuestionChoice
Obesity is not a contraindication to IUD insertion. It is, however, a consideration with hormonal methods.
10036029
c
BMI >35 kg/m^2
QuestionChoice
Copper IUD insertion is UKMEC category 3 (risks usually outweigh advantages) between 48 hours and 4 weeks postpartum, rather than UKMEC 4 (contraindicated). Copper IUD insertion is UKMEC category 1 (no restriction) <48 hours and >4 weeks postpartum.
10036028
b
Vaginal delivery within 3 weeks
Concept
Chapter
2693
6180
Intrauterine device
Topic
163
Genitourinary medicine
19609
Postpartum sepsis is an absolute contraindication for copper intrauterine device insertion due to the increased risk of infection.
A 31-year-old woman visits her GP after giving birth to discuss contraceptive options. She has done extensive reading and would like a highly effective method that does not involve hormonal therapy. A copper intrauterine device (IUD) is suggested.

What would be an absolute contraindication to IUD insertion?
a