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Contraception - Management
How should I manage a woman who has actinomyces-like organisms on a cervical smear and is using a copper intrauterine device (IUD)?

  • Assess for symptoms of pelvic inflammatory disease:
    • Symptomatic: consider investigation and treatment, or referral to specialist services; there is probably no need to remove the copper intrauterine device (IUD).
    • Asymptomatic: leave IUD in place.

In depth

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