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IUD and Wilson disease — DFSRH MCQ

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HardIntrauterine contraceptionIUD and Wilson diseaseDFSRH

A 22-year-old woman with Wilson disease controlled on chelation asks for a copper IUD. She has no hepatic decompensation and wants non-hormonal contraception. What is the most appropriate management?

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Correct answer: A — Seek specialist advice before copper IUD use

Copper-related conditions such as Wilson disease require specialist consideration before copper IUD use. This does not mean no contraception is available. LNG-IUD or other methods may be considered depending on the full clinical picture.

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