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=== Insertion === A copper IUD can be inserted at any phase of the [[menstrual cycle]], as long as pregnancy can be reliably excluded. It may be inserted in the immediate [[postpartum period]] (shortly after delivery of the [[placenta]]), and after an induced [[Medical abortion|medical]], [[Abortion|surgical]], or [[Miscarriage|spontaneous abortion]] provided a genital tract infection can be reliably excluded.<ref name="Averbach et al 2020"/><ref name=":2" /><ref>{{cite journal | vauthors = Schmidt-Hansen M, Hawkins JE, Lord J, Williams K, Lohr PA, Hasler E, Cameron S | title = Long-acting reversible contraception immediately after medical abortion: systematic review with meta-analyses | journal = Human Reproduction Update | volume = 26 | issue = 2 | pages = 141β160 | date = February 2020 | pmid = 32096862 | doi = 10.1093/humupd/dmz040 }}</ref><ref name=":8" /><ref name=":10">{{cite journal | vauthors = Okusanya BO, Oduwole O, Effa EE | title = Immediate postabortal insertion of intrauterine devices | journal = The Cochrane Database of Systematic Reviews | volume = 2014 | issue = 7 | pages = CD001777 | date = July 2014 | pmid = 25101364 | pmc = 7079711 | doi = 10.1002/14651858.CD001777.pub4 | collaboration = Cochrane Fertility Regulation Group }}</ref> NSAIDs taken prior to the procedure and use of local anesthesia are recommended to reduce pain at the time of insertion.<ref name="Treiman 1995" /><ref name="CJRM2008">{{cite journal | vauthors = Hutten-Czapski P, Goertzen J | title = The occasional intrauterine contraceptive device insertion | journal = Canadian Journal of Rural Medicine | volume = 13 | issue = 1 | pages = 31β35 | year = 2008 | pmid = 18208650 | url = http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/cjrm/vol-13/issue-1/pdf/pg31.pdf | url-status = dead | access-date = January 22, 2009 | archive-url = https://web.archive.org/web/20160814080115/https://www.cma.ca/multimedia/staticContent/HTML/N0/l2/cjrm/vol-13/issue-1/pdf/pg31.pdf | archive-date = August 14, 2016 }}</ref><ref name="Moh2006">{{cite journal | vauthors = Mohllajee AP, Curtis KM, Peterson HB | title = Does insertion and use of an intrauterine device increase the risk of pelvic inflammatory disease among women with sexually transmitted infection? A systematic review | journal = Contraception | volume = 73 | issue = 2 | pages = 145β153 | date = February 2006 | pmid = 16413845 | doi = 10.1016/j.contraception.2005.08.007 | url = https://zenodo.org/record/1258853 | access-date = September 30, 2020 | url-status = live | archive-url = https://web.archive.org/web/20200206031628/https://zenodo.org/record/1258853 | archive-date = February 6, 2020 }}</ref>
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