A 26 year old consults about contraception, she has been using sheaths since her first child was born 2 years ago. She wants to go back on the OCP. Her notes suggest she may have had migraines in the past.

Rebecca comes to see you about an abnormal smear report. Actinomycoses has been found on her routine smear. She has had a Novagard IUCD for the last 2 years.
What do you discuss?
What are your options?