How should I manage a woman using a copper intrauterine device (IUD) who may be pregnant?
• Exclude ectopic pregnancy and advise that the risk of miscarriage, infection, or preterm delivery is increased if the intrauterine device (IUD) is left in place. • Advise that removal of the IUD is recommended, but there is a small risk of miscarriage. • If the woman agrees to removal, it should be done as soon as possible and before 12 weeks of gestation. • If the woman does not wish to continue with the pregnancy, the IUD can be removed at the time of abortion.
