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Monogamy is not necessarily a "requirement" for placement of an IUD. However, it is VERY highly recommended that you be in a monogamous relationship, as IUDs do not offer protection from STDs (sexually transmitted diseases), and complication rates increase DRAMATICALLY in the event a woman contracts an STD with an IUD in place. These complications can include pelvic inflammatory disease, scarring, and infertility to name a few. If you have an IUD and have multiple sexual partners, you will additionally need to use condoms to protect from STDs.

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