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Actinomyces-like organisms with IUD — DFSRH MCQ

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ModerateIntrauterine methodsActinomyces-like organisms with IUDDFSRH

A 35-year-old woman with a copper IUD has actinomyces-like organisms reported on a cervical smear. She has no pelvic pain, fever, discharge or abnormal bleeding. What is the most appropriate management?

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

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Correct answer: C — Reassure and leave the IUD in situ if asymptomatic

Actinomyces-like organisms on cervical cytology in an asymptomatic IUD user do not require urgent removal or antibiotics. Symptoms of pelvic infection would change management, but they are absent here. Ceftriaxone, hysterectomy and weekly cytology are inappropriate. The pearl is to treat the patient, not an incidental smear comment.

Reference: FSRH Guideline: Intrauterine Contraception