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Actinomyces-like organisms — DFSRH MCQ

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ModerateIntrauterine contraceptionActinomyces-like organismsDFSRH

A 42-year-old copper IUD user has actinomyces-like organisms reported on cervical cytology. She is asymptomatic and pelvic examination is normal. What is the most appropriate management?

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Correct answer: D — No treatment or IUD removal is needed if asymptomatic

Actinomyces-like organisms in an asymptomatic IUD user do not require antibiotics or removal. Symptoms of pelvic infection would change management. This prevents unnecessary removal of effective contraception.

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