Is herpes a reason to avoid IUD insertion? #407/14

What are the current recommendations for IUDs for women with herpes simplex virus (HSV)?  There is nothing I can find.



To my knowledge herpes simplex virus infections are not a reason to withhold insertion of an IUD and if a woman is a carrier of herpes it does not lead to IUD complications.


Am I correct Dr. Emily Godfrey, Dr. Lisa Haddad and Dr. Jeanne Marrazzo?  Herpes is not mentioned at all in the U.S. Medical Eligibility Criteria for Contraceptive Use, 2010.


From Dr. Lisa Haddad on 4-21: “I am unaware of any reason to avoid insertion of the IUD with HSV.  Please let me know if any of the other doctors have other evidence.”


From Dr. Emily Godfrey on 5-5: “Herpes is spread through skin-to-skin contact.  And thus, it isn’t plausible that the HSV would spread to the uterus with IUD insertion.  Presence of HSV should not be a contraindication to IUD insertion.”


From Dr. Jeanne Marrazzo on 5-6: “The answer is correct, there is no contraindication for IUD insertion in terms of genital herpes.”


Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA


Jeanne Marrazzo MD, MPH, FACP, FIDSA

Division of Allergy and Infection Diseases

Medical Director, Seattle STD/HIV Prevention Training Center

University of Washington

Seattle, WA

Lisa Blake Haddad, MD

Family Planning Fellow

Department of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

Emily M. Godfrey MD, MPH, FAAFP

Associate Professor, Family Medicine

Adjunct Associate Professor, Obstetrics & Gynecology

University of Washington School of Medicine

Seattle, WA 98105


To learn more about the advantages and disadvantages of IUDs; go to: and click on Choices 2013 edition.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?  It is now available in English and Spanish.   

Key Words:  herpes, avoid, IUD, insertion, recommendations, herpes simplex virus (HSV), infection U.S. Medical Eligibility Criteria for Contraceptive Use, complications, Dr. Emily Godfrey, Dr. Lisa Haddad, Dr. Jeanne Marrazzo, genital herpes


Helpful Books:

Contraceptive Technology 20th Edition

Managing Contraception 2013-2014-Skyla Edition

Choices 2013


Posted on

October 28, 2014