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IUD insertion and chlamydia risk — DFSRH MCQ

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HardIntrauterine methodsIUD insertion and chlamydia riskDFSRH

A 19-year-old requests same-day copper IUD insertion. She has a new partner, no pelvic pain, no discharge, negative pregnancy test and last UPSI was 8 days ago. Local chlamydia prevalence is high. What is the most appropriate management?

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

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Correct answer: C — Take STI tests and insert today if asymptomatic and eligible

Same-day IUD insertion can proceed in an asymptomatic patient after risk assessment and STI testing, with treatment arranged if positive. Delaying until NAAT results return can create avoidable pregnancy risk. Nulliparity and lack of cervical screening are not contraindications.

Reference: FSRH Guideline Intrauterine Contraception; BASHH STI Testing Guidance