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Nulliparity and IUD — DFSRH MCQ

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ModerateIntrauterine contraceptionNulliparity and IUDDFSRH

A 21-year-old nulliparous woman requests a copper IUD. She has no STI symptoms, negative pregnancy test and a single regular partner. What would you advise this patient?

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

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Correct answer: E — Offer copper IUD insertion after counselling and STI risk assessment

Nulliparity is not a contraindication to IUD use. STI risk assessment and appropriate testing should be considered, but the method can be offered. Avoid paternalistic refusal based on parity.

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