A woman with a Cu-IUD develops Actinomyces-like organisms (ALOs) on a cervical smear. She has pelvic pain and a tender uterus on examination. What sho...

Question

A woman with a Cu-IUD develops Actinomyces-like organisms (ALOs) on a cervical smear. She has pelvic pain and a tender uterus on examination. What should be done?

Accepted Answer

She has symptoms consistent with pelvic actinomycosis - the Cu-IUD should be removed and appropriate antibiotic treatment (long-course penicillin) should be commenced after further investigation

Answer

No action; ALOs are always benign

Answer

ALOs only require antibiotics if she is pregnant

Answer

Continue monitoring without treatment

Answer

Switch to an LNG-IUS

uk-dfsrh MCQ (SBA): Symptomatic ALOs Pelvic Actinomycosis Remove IUC Treat

A woman with a Cu-IUD develops Actinomyces-like organisms (ALOs) on a cervical smear. She has pelvic pain and a tender uterus on examination. What should be done?