A 25-year-old woman has a copper IUD in situ and presents to the GP with a positive pregnancy test at approximately 6 weeks of gestation. She wishes t...

Question

A 25-year-old woman has a copper IUD in situ and presents to the GP with a positive pregnancy test at approximately 6 weeks of gestation. She wishes to continue the pregnancy. Ultrasound confirms an intrauterine pregnancy with the IUD threads visible at the cervical os. Which is the single most appropriate management?

Accepted Answer

Remove the IUD as soon as possible

Answer

Leave the IUD in situ throughout pregnancy

Answer

Remove the IUD only if she develops signs of infection

Answer

Arrange termination as the pregnancy is unlikely to be viable

Answer

Refer for surgical removal of the IUD under ultrasound guidance at 12 weeks

uk-drcog MCQ (SBA): Pregnancy with IUD In Situ