A 28-year-old woman with a Cu-IUD presents with a single episode of postcoital bleeding. She is otherwise well. What is the most important initial inv...

Question

A 28-year-old woman with a Cu-IUD presents with a single episode of postcoital bleeding. She is otherwise well. What is the most important initial investigation?

Accepted Answer

Perform an STI screen (chlamydia and gonorrhoea) and cervical assessment

Answer

Remove the Cu-IUD

Answer

Arrange an MRI pelvis

Answer

Prescribe tranexamic acid without investigation

Answer

Reassure without any investigation

uk-dfsrh MCQ (SBA): Postcoital Bleeding with IUC Investigation

A 28-year-old woman with a Cu-IUD presents with a single episode of postcoital bleeding. She is otherwise well. What is the most important initial investigation?