A 20-year-old woman is diagnosed with pelvic inflammatory disease. She has a new IUD inserted 3 weeks ago. Appropriate antibiotics are commenced. She ...

Question

A 20-year-old woman is diagnosed with pelvic inflammatory disease. She has a new IUD inserted 3 weeks ago. Appropriate antibiotics are commenced. She asks whether she is at increased risk of infertility because she had an IUD at the time of infection. What should she be told?

Accepted Answer

The risk of infertility is related to the PID itself and is not significantly increased by the presence of an IUD beyond the first 20 days after insertion

Answer

The IUD significantly increases her infertility risk

Answer

The IUD protects against infertility complications of PID

Answer

She will definitely be infertile after this episode

Answer

The IUD has no relationship to PID risk at any time

uk-dfsrh MCQ (SBA): PID Infertility Risk with IUC

A 20-year-old woman is diagnosed with pelvic inflammatory disease. She has a new IUD inserted 3 weeks ago. Appropriate antibiotics are commenced. She asks whether she is at increased risk of infertility because she had an IUD at the time of infection. What should she be told?