8 preconceived ideas
In addition, certain prejudices, such as “not to insert an IUD in nulliparous women”, are specifically French. In other countries such as Belgium, for example, this practice is in common use. It is therefore important to clarify certain beliefs. Since 2017, the French Health Authority has been recommending copper IUDs as first-line treatment, including for nulliparous women.
In nulliparous women, the expected benefits must be weighed against the possible therapeutic risks. For young women, the main risk is related to Sexually Transmitted Infections, especially in the case of multiple partners. Only the condom protects against this risk.
On the other hand, non-steroidal anti-inflammatory drugs can only be used as a short treatment. In short treatment, they do not influence the contraceptive effectiveness of IUDs.
NB: Only copper IUDs must be inserted in this context, hormonal IUDs (with Levonorgestrel) do not have this indication.
TRUE – But not IUD insertion: However, the combination of tobacco and hormones (the pill) should be systematically avoided in view of the greatly increased cardiovascular risk.