A woman attending a sexual health clinic is diagnosed with pelvic inflammatory disease. She has a 52 mg LNG-IUS. Appropriate antibiotics are started. ...

Question

A woman attending a sexual health clinic is diagnosed with pelvic inflammatory disease. She has a 52 mg LNG-IUS. Appropriate antibiotics are started. At 72-hour review, she is clinically improving. Should the LNG-IUS be removed?

Accepted Answer

No, if she is improving on antibiotics, the LNG-IUS can remain in situ

Answer

Yes, always remove IUC in PID

Answer

The LNG-IUS must be replaced with a new one

Answer

She needs IV antibiotics before the LNG-IUS can remain

Answer

The LNG-IUS should be removed and a Cu-IUD inserted

uk-dfsrh MCQ (SBA): PID Improving IUC Stays In Situ

A woman attending a sexual health clinic is diagnosed with pelvic inflammatory disease. She has a 52 mg LNG-IUS. Appropriate antibiotics are started. At 72-hour review, she is clinically improving. Should the LNG-IUS be removed?