A woman with a Cu-IUD is going to have a hysteroscopy for investigation of abnormal uterine bleeding. The gynaecologist plans to remove the Cu-IUD at ...

Question

A woman with a Cu-IUD is going to have a hysteroscopy for investigation of abnormal uterine bleeding. The gynaecologist plans to remove the Cu-IUD at hysteroscopy. She had UPSI 3 days ago. What contraceptive consideration is needed?

Accepted Answer

If the Cu-IUD is removed mid-cycle and UPSI occurred in the preceding 7 days, sperm may still be viable; EC should be considered at the time of removal

Answer

No consideration; the UPSI was while the Cu-IUD was in situ

Answer

The Cu-IUD provides protection for 7 days after removal

Answer

UPSI with a Cu-IUD never results in pregnancy

Answer

She should take LNG-EC before the hysteroscopy

uk-dfsrh MCQ (SBA): EC Consideration at IUC Removal After UPSI

A woman with a Cu-IUD is going to have a hysteroscopy for investigation of abnormal uterine bleeding. The gynaecologist plans to remove the Cu-IUD at hysteroscopy. She had UPSI 3 days ago. What contraceptive consideration is needed?