After insertion of an intrauterine contraceptive device, the risk of pelvic inflammatory disease is highest during which period?

• A The risk remains uniformly elevated throughout use
• B Between 1 and 3 months after insertion
• C Between 3 and 6 months after insertion
• D First 20 days after insertion ✓

Explanation

The increased risk of PID after IUCD insertion is confined largely to the first 20 days, reflecting contamination of the endometrial cavity at the time of insertion rather than ongoing device-related risk. After this window, the risk falls to near baseline in screened women. This fact underpins the recommendation that asymptomatic women need no antibiotic prophylaxis beyond proper aseptic insertion technique and screening for sexually transmitted infections beforehand.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.