A 33-year-old woman presents with a 2-week history of pelvic pain, fever, and purulent vaginal discharge. She has a Cu-IUD in situ, inserted 2 months ...

Question

A 33-year-old woman presents with a 2-week history of pelvic pain, fever, and purulent vaginal discharge. She has a Cu-IUD in situ, inserted 2 months ago. Investigations confirm PID. She is treated with antibiotics but remains symptomatic at 72-hour review. What should be considered?

Accepted Answer

Remove the Cu-IUD as she has not responded to initial treatment

Answer

Continue antibiotics for a further 7 days without any other intervention

Answer

Switch to intravenous antibiotics and leave the Cu-IUD in situ

Answer

Perform an exploratory laparoscopy immediately

Answer

Remove the Cu-IUD and offer the etonogestrel implant

uk-dfsrh MCQ (SBA): PID Not Responding to Treatment with IUC

A 33-year-old woman presents with a 2-week history of pelvic pain, fever, and purulent vaginal discharge. She has a Cu-IUD in situ, inserted 2 months ago. Investigations confirm PID. She is treated with antibiotics but remains symptomatic at 72-hour review. What should be considered?