Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/14/2025

Copper T IUD Contraindications and Risks

Contraindications

  • The Centers for Disease Control and Prevention recommends that IUD use during pregnancy is a Category 4 condition, carrying risk for serious pelvic infection and septic spontaneous abortion 1, 2, 3, 4

Infection Risks

  • The Centers for Disease Control and Prevention states that there is a potential increased risk for pelvic inflammatory disease with IUD insertion among women with chlamydial infection or gonorrhea, making it a Category 3 condition 1, 2, 3, 4
  • The American Academy of Pediatrics notes that the risk of pelvic infection occurs primarily during the first 20-21 days after insertion, not during long-term use 5

Clinical Considerations

  • The American Academy of Pediatrics recommends that screening for gonorrhea and chlamydia can be performed on the day of insertion, with treatment provided afterward if needed without removing the device 5
  • The American Academy of Family Physicians states that the Copper T IUD requires no backup contraception after insertion, as it is immediately effective 6
  • The American Academy of Pediatrics notes that expulsion may occur more frequently in adolescents and younger nulliparous women, although it occurs in fewer than 5% of women 5