The conduct of colleagues.

Clinical scenario Mrs X attends the clinic for removal of her intrauterine device (IUD). She explains that she had it inserted as emergency contraception and now wants it removed with this period. While on the couch, she confides that her general practitioner (GP), a close friend, had fitted the IUD in his own home to avoid anyone in the village knowing about her need. She had been away to a conference for 5 days and had unprotected sex with another delegate. Her husband had had a vasectomy, so she was unused to having to think about contraception. On her return home, she realised that she had had intercourse several times around the middle of her cycle and pleaded with her GP friend to do something. The clinic doctor realises from Mrs X’s story that the GP had fitted the IUD 8 days after mid-cycle and intercourse. Since then, Mrs X had spent some time finding out where a family planning clinic was situated so that she could have the IUD removed in anonymity, while avoiding intercourse with her husband. What should the clinic doctor do or say?