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IUD and pelvic infection — DRCOG MCQ

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ModerateContraceptionIUD and pelvic infectionDRCOG

A 24-year-old woman requests copper IUD insertion but has pelvic pain, mucopurulent discharge and cervical motion tenderness on examination. Pregnancy test is negative. What is the most appropriate management?

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Correct answer: C — Defer IUD insertion and treat suspected pelvic inflammatory disease

Suspected PID is a contraindication to immediate IUD insertion; infection should be treated and alternative contraception discussed. An IUD does not treat PID and insertion may worsen infection risk. STI testing and partner notification are important. Temporary contraception should be provided while infection is managed.

Reference: FSRH Intrauterine Contraception; BASHH PID guideline