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Copper IUD and Wilson disease — DFSRH MCQ

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ModerateUKMECCopper IUD and Wilson diseaseDFSRH

A 28-year-old woman with Wilson disease asks for copper IUD contraception. Her liver function is stable and she has specialist follow-up. What is the most appropriate management?

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Correct answer: B — Seek specialist advice about copper IUD suitability

Copper-related disorders require individual specialist consideration before copper IUD use. This is not the same as routine copper IUD eligibility. Alternative methods can be discussed during shared decision-making.

Reference: UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) 2025; FSRH Clinical Guidelines