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Chlamydia before IUD insertion — DFSRH MCQ

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ModerateIntrauterine contraceptionChlamydia before IUD insertionDFSRH

A 23-year-old woman due for IUD fitting today has pelvic pain, mucopurulent discharge and a positive chlamydia NAAT from last week. She has not started treatment. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Defer insertion and treat infection

Symptomatic untreated chlamydia with possible cervicitis/PID is a reason to defer IUD insertion and treat. Insertion through active infection increases risk of ascending infection. Interim contraception and partner notification should be arranged.

Reference: FSRH Intrauterine Contraception Guideline 2023; UKMEC 2025; BNF