A 25-year-old nulliparous woman has an IUC insertion attempt that fails due to cervical stenosis. What options should be considered?...

Question

A 25-year-old nulliparous woman has an IUC insertion attempt that fails due to cervical stenosis. What options should be considered?

Accepted Answer

Consider cervical preparation (e.g. misoprostol), use of a smaller device, or referral for insertion under anaesthesia or ultrasound guidance

Answer

Abandon IUC use permanently

Answer

She must have a cervical dilation under general anaesthesia before any further attempt

Answer

IUC is contraindicated in nulliparous women with cervical stenosis

Answer

Switch to sterilisation

uk-dfsrh MCQ (SBA): Failed IUC Insertion Cervical Stenosis Options