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
25 year old woman with IUD inserted 2 years ago presents with fever. On examination, actinomyces is positive in cervical cytology. What would you advise regarding IUD? 
Select and explain. 
A. Continue some contraception, no need of treatment, B. Hysterectomy, C. IUD is left in place and antibiotic course is started, D. Remove the IUD and intensive antibiotic therapy given
D: Remove the IUD and intensive antibiotic therapy given
Answer: D: Remove the IUD and intensive antibiotic therapy given 
Explanation: Actinomyces infection due to IUD, if symptomatic start on intensive antibiotic therapy along with removal of IUD. Initiate alternative contraceptive method.