A 24-year-old nulliparous woman had a Cu-IUD inserted 2 weeks ago. She now presents with crampy lower abdominal pain, no fever, and no abnormal discha...

Question

A 24-year-old nulliparous woman had a Cu-IUD inserted 2 weeks ago. She now presents with crampy lower abdominal pain, no fever, and no abnormal discharge. The threads are visible and at the expected length. What is the most likely cause?

Accepted Answer

Post-insertion cramping, which is common and usually self-limiting

Answer

Uterine perforation

Answer

Pelvic inflammatory disease

Answer

Ectopic pregnancy

Answer

Ovarian torsion

uk-dfsrh MCQ (SBA): Post-IUC Insertion Cramping

A 24-year-old nulliparous woman had a Cu-IUD inserted 2 weeks ago. She now presents with crampy lower abdominal pain, no fever, and no abnormal discharge. The threads are visible and at the expected length. What is the most likely cause?