A woman with a Cu-IUD attends for its scheduled replacement (10-year device, now due). She had unprotected sexual intercourse 3 days ago. Can the old ...

Question

A woman with a Cu-IUD attends for its scheduled replacement (10-year device, now due). She had unprotected sexual intercourse 3 days ago. Can the old Cu-IUD be removed and a new one inserted at the same appointment?

Accepted Answer

Yes, simultaneous removal and reinsertion can be performed. As she had unprotected sexual intercourse within the preceding 7 days, consideration of the pregnancy risk is needed - the new Cu-IUD provides immediate cover, maintaining protection

Answer

No, she must wait for her next period

Answer

She must use emergency contraception before the exchange

Answer

The old Cu-IUD should remain for another year

Answer

She must have a pregnancy test first and wait 21 days

uk-dfsrh MCQ (SBA): Cu-IUD Replacement with Recent Unprotected Sexual Intercourse

A woman with a Cu-IUD attends for its scheduled replacement (10-year device, now due). She had unprotected sexual intercourse 3 days ago. Can the old Cu-IUD be removed and a new one inserted at the same appointment?