The use of IUDs can contribute to the incidence of actinomycosis.
Is it true that the use of IUDs can contribute to the incidence of actinomycosis?
Yes. The evidence robustly supports the association between intrauterine devices (IUDs), particularly long-term or retained use, and the incidence of actinomycosis and related pelvic infections.
Verdict: SUPPORTED · 6 sources for, 0 against · Last checked
The retrieved literature consistently documents clinical cases and microbiological findings linking IUD use—especially prolonged use—to colonization by Actinomyces and the development of pelvic or abdominal actinomycosis. There are no papers refuting this well-established clinical association.
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A, Á., Z, P., G, T., M, S., ID, G., & E, U. (2018). Culture- and PCR-based detection of BV associated microbiological profile of the removed IUDs and correlation with the time period of IUD in place and the presence of the symptoms of genital tract infection.. doi.org. https://doi.org/10.1186/s12941-018-0293-6
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AA, S., Y, R., ES, A., Y, E., FA, A., I, T., JJ, R., & AA, S. (2022). Pelvi-abdominal <b><i>ACTINOMYCOSIS</i></b> as a complication of long-term use of intrauterine device (IUD). The important role of imaging in diagnosis and follow-up.. doi.org. https://doi.org/10.1016/j.radcr.2022.08.035
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Dejanović, D., Ahnlide, J., Nilsson, C., Berthelsen, A., & Loft, A. (2015). Pelvic Actinomycosis Associated with an Intrauterine Contraceptive Device Demonstrated on F-18 FDG PET/CT. doi.org. https://doi.org/10.3390/diagnostics5030369
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Chatwani, A. & Amin-Hanjani, S. (1993). Management of Intrauterine Device‐Associated Actinomycosis. doi.org. https://doi.org/10.1155/s1064744993000298
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S, B., S, S., PF, W. C., & D, F. (2011). Diagnostic dilemma posed by severe pelvic actinomycosis associated with prolonged use of copper intrauterine contraceptive device.. doi.org. https://doi.org/10.4081/cp.2011.e112
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NN, N., G, V., I, E., C, P., & M, K. (2026). Retained intrauterine devices and abdominal actinomycosis, diagnostic challenges from a case series.. doi.org. https://doi.org/10.52054/fvvo.2026.329
What does the evidence say?
The retrieved literature consistently documents clinical cases and microbiological findings linking IUD use—especially prolonged use—to colonization by Actinomyces and the development of pelvic or abdominal actinomycosis. There are no papers refuting this well-established clinical association.
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