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IUD after sexual assault — DFSRH MCQ

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ModerateIntrauterine contraceptionIUD after sexual assaultDFSRH

A 19-year-old presents after sexual assault 3 days ago and requests emergency contraception. She is distressed and is considering forensic examination. What is the most appropriate management?

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Correct answer: A — Offer trauma-informed EC options including Cu-IUD and coordinate with SARC pathway

After sexual assault, EC including Cu-IUD should be offered in a trauma-informed manner alongside SARC, safeguarding and STI pathways. The timing and wishes around forensic examination should be respected. Oral EC may be given if IUD is delayed or declined.

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