streptococcal bacteria and IUCD insertion (IUC)

Last edited 07/2019

• in asymptomatic women routine screening for bacterial infection is not recommended prior to IUC insertion
  • however, cases of group A streptococcus (GAS) infection have been reported post-IUD insertion cases are rare but can include life-threatening septicaemia, invasive GAS (e.g. necrotising fasciitis) and streptococcal toxic shock syndrome
  • it is important that women found to be infected with GAS in the vagina are treated and IUC insertion delayed
    
    
• no need to delay treatment or treat asymptomatic women who have been identified as having Group B streptococci

Reference:

• FSRH Guidance (April 2015) Intrauterine Contraception