Providers should be aware of the relationship between infections that may be already present and the risk of iatrogenic infection. For example, clients should be checked for endogenous or sexually transmitted infections before insertions of the IUD to avoid bacteria being pushed into the uterus. Alternatively, women selecting the IUD should be encouraged to choose a different form of contraception if they consider themselves at risk of exposure to an STI. Comprehensive reproductive health services should be made available, including the management of endogenous and sexually transmitted infections, to limit the risk factors for iatrogenic infection