A woman with a Cu-IUD experiences a single episode of spotting mid-cycle. She has no pain, fever, or discharge. She is otherwise well. What is the mos...

Question

A woman with a Cu-IUD experiences a single episode of spotting mid-cycle. She has no pain, fever, or discharge. She is otherwise well. What is the most appropriate management?

Accepted Answer

Reassure - occasional intermenstrual spotting can occur with the Cu-IUD and a single episode without other symptoms does not require investigation

Answer

Remove the Cu-IUD immediately

Answer

Arrange urgent hysteroscopy

Answer

Prescribe antibiotics

Answer

Switch to an LNG-IUS

uk-dfsrh MCQ (SBA): Cu-IUD Single Episode IMB Spotting Reassure

A woman with a Cu-IUD experiences a single episode of spotting mid-cycle. She has no pain, fever, or discharge. She is otherwise well. What is the most appropriate management?