A woman attends 4 weeks after insertion of a Cu-IUD and cannot feel the threads. She has had no UPSI since insertion. What is the most appropriate nex...

Question

A woman attends 4 weeks after insertion of a Cu-IUD and cannot feel the threads. She has had no UPSI since insertion. What is the most appropriate next step?

Accepted Answer

Arrange an ultrasound scan to check the position of the IUD

Answer

Reassure and take no further action

Answer

Attempt thread retrieval with a thread retriever or narrow forceps in clinic

Answer

Insert a new Cu-IUD immediately

Answer

Advise the IUD has been expelled and switch to oral contraception

uk-dfsrh MCQ (SBA): Lost IUD Threads Management

A woman attends 4 weeks after insertion of a Cu-IUD and cannot feel the threads. She has had no UPSI since insertion. What is the most appropriate next step?