Insertion of IUD should be delayed a minimum of 4 weeks or until the uterus is fully involuted; if involution is delayed, insertion should be delayed until involution is complete; consider the possibility of ovulation and conception occurring prior to insertion and advise patient on need for an ...
A 22-year-old patient presented to the ED with 3 days of worsening itching, burning and tingling. The patient had been seen that morning by her Pediatric Adolescent Gynecologist (PAG) for follow up 6.5 weeks after placement of a Mirena IUD for long-term management of endometriosis. She had...