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IUD removal after recent UPSI — DFSRH MCQ

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HardReproductive HealthIUD removal after recent UPSIDFSRH

A 38-year-old copper IUD user asks for removal today because of cramps. She had UPSI two days ago and does not want pregnancy. What would you advise this patient?

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Correct answer: DDelay removal or provide alternative EC plan because sperm may survive

If an effective IUD is removed after recent UPSI, sperm survival can create pregnancy risk. Removal can be delayed or EC/bridging contraception discussed. A pregnancy test today will not exclude conception from sex two days ago.

Reference: FSRH Contraception After Pregnancy Guideline; NICE Abortion Care Guideline; NICE Antenatal Care; BNF