What finding is a contraindication for the insertion of an IUD?

The presence of a positive chlamydia culture is a critical finding that contraindicates the insertion of an IUD. This is primarily because a current infection, such as chlamydia, indicates an elevated risk of pelvic inflammatory disease (PID). Inserting an IUD can further increase this risk by creating a potential pathway for bacteria to ascend into the uterus and cause infection.

With a positive chlamydia culture, healthcare providers typically recommend treating the infection first before considering the insertion of an IUD. This approach helps to minimize the risks associated with the procedure and ensures the client's reproductive health is safeguarded before any long-term birth control method is utilized.

In contrast, while a history of cervical cancer can raise considerations regarding the appropriate contraceptive methods, it does not automatically contraindicate IUD insertion. Similarly, being under 18 years of age is not a strict contraindication; rather, it is essential to assess the individual's maturity and understanding of the IUD. Previous IUD removal also does not serve as a contraindication; individuals may have an IUD inserted again after proper assessment and clearance.