This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
A female with IUCD develops pelvic inflammatory disease. which of the following should be done: 
Select and explain. 
A. Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCD removal, B. Sta antibiotic & remove IUCD, C. Remove IUCD & sta antibiotic, D. Wait for next menstrual cycle for any intervention
A: Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCD removal
Answer: A: Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCD removal 
Explanation: Ans. is 'a' i.e., Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCDremoval If an IUD user receives a diagnosis of PID, the IUD does not need to be removed. However, the woman should receive treatment according to these recommendations and should have close clinical follow-up no clinical improvement occurs within 48-72 hours of initiating treatment, providers should consider removing the IUD.PID treatment regimens must provide empiric, broad spectrum antibiotic coverage of likely pathogens