Question

Absolute contraindication for IUD (Intra Uterine Contraceptive Device) are all except

• A. Pregnancy
• B. Undiagnosed vaginal bleeding
• C. Pelvic inflammatory disease
• D. Uterine malformation

Answer 1

The Correct Option is D

To determine the absolute contraindications for an Intrauterine Device (IUD), we must understand the conditions under which an IUD should not be used due to potential health risks or ineffectiveness. Absolute contraindications are conditions that make the use of the IUD inadvisable.

Let's analyze the options given:

Condition	Explanation
Pregnancy	An IUD should not be inserted in a pregnant woman, as it can pose a risk to the pregnancy.
Undiagnosed vaginal bleeding	An IUD should not be used if there is undiagnosed vaginal bleeding since it may worsen undetected underlying conditions.
Pelvic inflammatory disease (PID)	Inserting an IUD in a patient with active PID can exacerbate the infection and is absolutely contraindicated.
Uterine malformation	While certain uterine malformations can make the placement or effectiveness of an IUD challenging, they do not absolutely contraindicate its use. Therefore, with special considerations, an IUD can sometimes still be used.

The correct choice is "Uterine malformation," as it is not an absolute contraindication for IUD use under all circumstances.

Thus, the other options listed present absolute contraindications for the insertion of an IUD, but "Uterine malformation" is not always prohibitive, depending on the specific clinical scenario.