Question:medium

Absolute contraindications for an IUD (Intrauterine Contraceptive Device) are all of the following except:

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One of these only distorts the cavity rather than forbidding insertion outright.
Updated On: Jun 23, 2026
  • Pregnancy
  • Undiagnosed vaginal bleeding
  • Pelvic inflammatory disease
  • Uterine malformation
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The Correct Option is D

Solution and Explanation

Strategy for the except question: tag each option as absolute or relative, then the lone relative one is the answer.
Pregnancy is an absolute no: an IUD must never be placed in a pregnant uterus. Active pelvic inflammatory disease is absolute because the device would worsen and spread infection. Undiagnosed vaginal bleeding is absolute since a serious cause such as malignancy must be excluded first.
Uterine malformation, however, sits in the relative column. A congenitally distorted or fibroid-bearing cavity may not hold the IUD properly, so insertion is discouraged, but it is not the categorical bar that pregnancy and active infection are. That makes uterine malformation the exception. Ref: Park PSM; standard OBG contraception texts.
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