Does having a confirmed negative gonorrhea/ chlamydia test at the time of intrauterine device (IUD) insertion decrease the risk of developing pelvic inflammatory disease (PID)?

Women with chlamydia or gonorrhea infection at the time of IUD insertion are at increased risk of PID relative to women without infection. (SOR: A, based on a systematic review.) However, women found to have chlamydia at the time of IUD insertion are unlikely to develop PID if treated promptly. (SOR: B, based on 2 prospective cohort studies.)