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Intrauterine contraception infection risk — DRCOG MCQ

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EasyContraceptionIntrauterine contraception infection riskDRCOG

A 19-year-old woman has pelvic pain and fever two weeks after intrauterine device insertion. What is the most appropriate management?

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

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Correct answer: EAssess urgently for pelvic infection

Assess urgently for pelvic infection is the best answer because the vignette is testing Intrauterine contraception infection risk and the recommended approach is consistent with FSRH Intrauterine Contraception. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Arrange routine GP review after the next period; Repeat the pregnancy test in one week; Arrange routine sexual health follow-up; Request outpatient ultrasound in three months would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: FSRH Intrauterine Contraception