Q:

A 35yo lady who has been using IUCD for one year now complains of pelvic pain and heavy painful periods. Select the most likely cause leading to her symptoms?

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A 35yo lady who has been using IUCD for one year now complains of pelvic pain and

heavy painful periods. Select the most likely cause leading to her symptoms?


  1. PID (pelvic inflammatory disease)
  2. Endometriosis
  3. Adenomyosis
  4. Fibroids
  5. Asherman syndrome

All Answers

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The key is A. PID. [The given picture may have D/D of PID or fibroid. As IUCD is a risk factor for PID,

it is the most likely diagnosis of given picture. Menorrhagia for fibroids is usually painless].

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