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Gynaecology & Obstetrics General 0960aa1f

A female with IUCD develops pelvic inflammatory disease. which of the following should be done:

A
Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCD removal
B
Sta antibiotic & remove IUCD
C
Remove IUCD & sta antibiotic
D
Wait for next menstrual cycle for any intervention
High-Yield Explanation
Ans. is 'a' i.e., Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCDremoval If an IUD user receives a diagnosis of PID, the IUD does not need to be removed. However, the woman should receive treatment according to these recommendations and should have close clinical follow-up no clinical improvement occurs within 48-72 hours of initiating treatment, providers should consider removing the IUD.PID treatment regimens must provide empiric, broad spectrum antibiotic coverage of likely pathogens

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