A 25-year-old woman with a Cu-IUD presents saying she can see a thread hanging from her vagina that is much longer than she was told to expect. What s...

Question

A 25-year-old woman with a Cu-IUD presents saying she can see a thread hanging from her vagina that is much longer than she was told to expect. What should be done?

Accepted Answer

This may indicate partial expulsion of the Cu-IUD. She should attend for assessment - speculum examination to visualise the device and ultrasound if needed. She should use additional precautions (condoms) and consider EC if UPSI has occurred

Answer

This is normal; no action needed

Answer

She should pull the thread to remove the device herself

Answer

Trim the thread at home

Answer

Threads always lengthen over time

uk-dfsrh MCQ (SBA): Longer Than Expected IUC Threads Partial Expulsion

A 25-year-old woman with a Cu-IUD presents saying she can see a thread hanging from her vagina that is much longer than she was told to expect. What should be done?