It can be used by women who cannot use combined contraception (such as the combined pill) – for example, those who have migraines. Most women can use an IUS, including those who are HIV positive. A GP or nurse will ask about your medical history to check if an IUS is suitable contraception for you. If you’re 45 or older when you have the IUS fitted, it can be left in until you reach the menopause or no longer need contraception. The IUS may not be suitable if you have:
breast cancer, or have had it in the past 5 years
cervical cancer or womb (uterus) cancer
liver disease
unexplained bleeding between periods or after sex
arterial disease or a history of serious heart disease or stroke
an untreated sexually transmitted infection (STI) or pelvic infection
