removal (of IUCD)

Women using Cu-IUDs can have their method removed up to Day 3 after the onset of menstruation without the need for additional precautions

Women having a Cu-IUD removed after Day 3 and women having an LNG-IUS removed at any time should be advised to avoid intercourse or use another method of contraception for at least 7 days before removal. Advise contraception thereafter

A Cu-IUD (containing >= 300 mm2 copper ) inserted at or after the age of 40 years can be retained until 1 year after the last menstrual period if this occurs when the woman is over the age of 50 years (2 years if under 50 years)

Women who wish replacement of a Cu-IUD outwith the licensed duration of use (excluding those detailed above) should have pregnancy reliably excluded prior to the replacement or fit the criteria for an emergency IUD

Women who had their 52 mg LNG-IUS inserted for contraception and/or heavy menstrual bleeding at the age of 45 years or over can use the device for 7 years or if amenorrhoeic until the menopause*, after which the device should be removed

Women who were under the age of 45 years at the time of 52 mg LNG-IUS insertion and who present for replacement of the device between 5 and 7 years after insertion may have immediate replacement if a pregnancy test is negative and another pregnancy test is advised no sooner than 3 weeks after the last episode of UPSI

If a woman is under 45 years at the time of 52 mg LNG-IUS insertion and more than 7 years have elapsed since insertion, replacement should be delayed until the woman has a negative pregnancy test at least 3 weeks after the last UPSI

Women who retain their 13.5 mg LNG-IUS for more than 3 years should be advised to use additional precautions until pregnancy can be excluded, after which time a replacement device can be inserted