From @acog_org: Pregnancy in IUD users is uncommon. However, when an intrauterine pregnancy does occur with an IUD in place, management depends on the patient’s desire to continue or terminate the pregnancy, gestational age, IUD location, and whether IUD strings are visible. Initial guidance is to determine the location of the pregnancy because those who become pregnant with an IUD in place are more likely to have an ectopic pregnancy. For persons who have an intrauterine pregnancy, there are ri