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IUD expulsion — DFSRH MCQ

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ModerateIntrauterine contraceptionIUD expulsionDFSRH

A 20-year-old woman had an LNG-IUD inserted 3 months ago and now feels a plastic stem at the cervix. Pregnancy test is negative and she had sex last night. What is the most appropriate management?

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

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Correct answer: B — Remove the partially expelled device and assess emergency contraception need

A partially expelled IUD is not reliable and should not be pushed back. Recent sex requires EC assessment and replacement planning. This is a classic management discriminator.

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