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Actinomyces-like organisms — DFSRH MCQ

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ModerateIntrauterine methodsActinomyces-like organismsDFSRH

A 45-year-old with an LNG-IUD has actinomyces-like organisms reported on cervical cytology. She is asymptomatic, afebrile, has no pelvic tenderness and the IUD threads are visible. What is the most appropriate management?

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

Asymptomatic actinomyces-like organisms on cytology do not require IUD removal or antibiotics. Management changes if symptoms suggest PID or pelvic actinomycosis, which is rare. This is a common trap because the cytology wording sounds alarming.

Reference: FSRH Guideline Intrauterine Contraception