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Cu-IUD with STI risk — DFSRH MCQ

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HardEmergency contraceptionCu-IUD with STI riskDFSRH

A 18-year-old presents 3 days after UPSI with a new partner and mucopurulent discharge. She wants the most effective EC but has pelvic tenderness. What is the most appropriate management?

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

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Correct answer: E — Treat possible infection and offer oral EC while arranging urgent sexual health review

A Cu-IUD is the most effective EC, but symptoms suggesting cervicitis or PID make same-day insertion unsafe. Oral EC should be offered without delay and infection managed. The clinical priority is balancing pregnancy prevention with infection risk.

Reference: FSRH Emergency Contraception Guideline 2017 amended 2023; FSRH UPA breastfeeding statement 2025; BNF