Pelvic pain after IUD — DRCOG MCQ

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ModerateContraceptionPelvic pain after IUDDRCOG

A 63-year-old woman has severe pelvic pain, fever and cervical excitation one week after IUD insertion. When should this patient be referred?

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Correct answer: D — Refer urgently for same-day assessment

Refer urgently for same-day assessment is the best answer because the vignette is testing Pelvic pain after IUD and the recommended approach is consistent with FSRH Intrauterine Contraception. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer urgently for safeguarding assessment; Offer depot medroxyprogesterone acetate; Refer to sexual assault referral services; Refer to specialist contraception services would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: FSRH Intrauterine Contraception