A 32-year-old nulliparous woman with no medical history has a Cu-IUD inserted for contraception. At her follow-up 6 weeks later, she reports heavier, ...

Question

A 32-year-old nulliparous woman with no medical history has a Cu-IUD inserted for contraception. At her follow-up 6 weeks later, she reports heavier, more painful periods. This is her only complaint. What is the most appropriate management?

Accepted Answer

Reassure that heavier and more painful periods are a recognised side effect of the Cu-IUD; offer symptomatic treatment

Answer

Remove the Cu-IUD

Answer

Switch to an LNG-IUS

Answer

Investigate with hysteroscopy

Answer

Prescribe prophylactic antibiotics

uk-dfsrh MCQ (SBA): Cu-IUD Heavy Periods Side Effect

A 32-year-old nulliparous woman with no medical history has a Cu-IUD inserted for contraception. At her follow-up 6 weeks later, she reports heavier, more painful periods. This is her only complaint. What is the most appropriate management?