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IUD perforation symptoms — DFSRH MCQ

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EasyIntrauterine contraceptionIUD perforation symptomsDFSRH

A 30-year-old woman develops severe lower abdominal pain and shoulder-tip pain after difficult IUD insertion. Observations are stable but she looks uncomfortable. What is the most appropriate management?

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

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Correct answer: D — Urgent assessment for perforation and intra-abdominal complication

Severe pain after difficult insertion should prompt urgent assessment for perforation or other complication. Mild cramping is common, but this presentation is not simple post-procedure discomfort. Safety-netting after insertion is essential.

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