A 24-year-old woman requests an intrauterine device for contraception. She had a chlamydia infection treated 2 years ago, is currently in a mutually monogamous relationship, and her last Pap smear was normal. Which IUD-related guidance is MOST appropriate?

• A IUD insertion is contraindicated due to past chlamydia infection
• B IUD can be inserted after STI testing and treatment if currently positive ✓
• C IUD is contraindicated in women under 25 years due to PID risk
• D Prophylactic antibiotics are required at time of insertion in all patients

Explanation

Past STI is not a contraindication to IUD insertion if the infection has been treated and the patient is currently disease-free. The WHO Medical Eligibility Criteria (MEC) category for current purulent cervicitis or chlamydia is MEC 4 (contraindicated), but previous history with successful treatment is MEC 1 (no restriction). Testing prior to insertion is prudent; if results return positive after insertion, prompt treatment is given. Prophylactic antibiotics at insertion are not recommended routinely per current guidelines.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.