A 24-year-old woman presents with lower abdominal pain and deep dyspareunia. She has had a Cu-IUD for 2 years. On examination, the threads are visible...

Question

A 24-year-old woman presents with lower abdominal pain and deep dyspareunia. She has had a Cu-IUD for 2 years. On examination, the threads are visible at the expected length. She has no fever or abnormal discharge. Pregnancy test is negative. What should be considered in the differential diagnosis?

Accepted Answer

The differential includes endometriosis, ovarian cyst, IUC malposition, and non-gynaecological causes. A pelvic ultrasound to check IUC position and ovarian morphology would be appropriate

Answer

Only PID

Answer

Appendicitis only

Answer

The Cu-IUD is the only possible cause

Answer

No investigation is needed if the threads are normal

uk-dfsrh MCQ (SBA): Chronic Pelvic Pain with Cu-IUD Broad Differential

A 24-year-old woman presents with lower abdominal pain and deep dyspareunia. She has had a Cu-IUD for 2 years. On examination, the threads are visible at the expected length. She has no fever or abnormal discharge. Pregnancy test is negative. What should be considered in the differential diagnosis?