What should be done if a woman is found to have chlamydial or gonococcal cervicitis with an intrauterine contraceptive device (IUCD) in situ?
Antibiotic therapy for the patient and for any sexual contacts must be initiated immediately. If there is any suggestion of PID (pelvic inflammatory disease), the device should be removed after initiating antibiotic therapy. Individual judgment can be applied regarding removal of the device in cases where a woman has completed her family and there is no evidence of PID. She should be counselled regarding the use of barrier contraceptive methods to avoid future infections.
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