Question

Which of the following is an absolute contraindication for the insertion of the device shown in the image below?

• A. Menstruation
• B. Trophoblastic disease
• C. Immediately after delivery
• D. Ruptured condom during intercourse

Answer 1

The Correct Option is B

In the field of Gynaecology and Obstetrics, an important aspect of patient care involves knowing the contraindications for various medical devices. The question here pertains to the contraindications for the insertion of an intrauterine device (IUD), which is a common form of long-term contraceptive.

The options provided are: 

• Menstruation
• Trophoblastic disease
• Immediately after delivery
• Ruptured condom during intercourse

Trophoblastic disease is considered an absolute contraindication for the insertion of an IUD. Trophoblastic disease encompasses a group of rare tumors involving abnormal growth of cells inside a woman’s uterus. This condition requires careful medical management and inserting an IUD could exacerbate the problem, lead to complications or interfere with necessary treatment procedures.

Other options like menstruation, post-delivery, and ruptured condom are not considered absolute contraindications and may be managed with alternative guidance or temporary postponement under specific circumstances.

Option	Absolute Contraindication
Menstruation	No
Trophoblastic disease	Yes
Immediately after delivery	No
Ruptured condom during intercourse	No