Which of the following is a contraindication to insertion of an intrauterine contraceptive device?

• A Nulliparity
• B Previous ectopic pregnancy
• C Acute pelvic inflammatory disease ✓
• D Small subserous fibroid not distorting the uterine cavity

Explanation

Current pelvic inflammatory disease is a category 4 condition for IUD insertion because introducing the device can worsen upper genital tract infection. Nulliparity is category 2, meaning benefits generally outweigh risks. Previous ectopic pregnancy does not preclude IUD use since overall ectopic risk is reduced, though pregnancies that occur with an IUD are more likely to be ectopic. A subserous fibroid that does not distort the cavity is not a barrier to insertion.

Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.