The outcome of replacing an intrauterine contraceptive device at the time of large loop excision of the transformation zone

SummarySummaryThe outcome of replacing an intrauterine contraceptive device (IUCD) in 46 women at the time of large loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia (CLN) was compared with 47 matched controls who had an IUCD removed but not replaced at the time of LLETZ.Twenty-five per cent of the women who had an IUCD replaced were treated for suspected or confirmed pelvic inflammatory disease (PID) by 6 months following treatment, compared with only one woman in the control group. Replacing an IUCD at the time of LLETZ significantly increases morbidity after the procedure and we recommend delaying insertion of an IUCD until at least 6 weeks after treatment.