skip to main content

Pregnancy with IUD in situ — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardIntrauterine contraceptionPregnancy with IUD in situDFSRH

A 29-year-old copper IUD user has a positive pregnancy test and mild lower abdominal pain. Threads are visible on speculum examination. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Urgent early pregnancy assessment and remove IUD if intrauterine and under 12 weeks

Pregnancy with IUD in situ requires urgent assessment to exclude ectopic pregnancy. If intrauterine pregnancy is confirmed and under 12 weeks, removal is advised if threads are visible. Immediate removal before confirming location may be inappropriate if ectopic pregnancy is possible.

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