skip to main content

Perforation risk after IUD insertion — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardIntrauterine methodsPerforation risk after IUD insertionDFSRH

A 28-year-old breastfeeding woman has severe lower abdominal pain 2 hours after interval LNG-IUD insertion at 8 weeks postpartum. Threads are not visible, pulse is 104/min and she feels faint. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: E — Urgent assessment for perforation or vasovagal complication

Severe pain, absent threads and abnormal observations soon after insertion require urgent assessment for perforation or another acute complication. Mild cramping is common, but this presentation is not routine. Breastfeeding and recent postpartum status are recognised risk factors for perforation.

Reference: FSRH Guideline Intrauterine Contraception