<prompt> Pathognomic of Actinomyces pelvic infection in IUCD users is?Raised ESR.Present of granuloma in microscopic lesion.Presence of Sulphur granules.Pelvic abscess  <response>: Tubo-ovarian abscess with the classic Sulphur granulesare observed histologically along with gram positive filaments. Approximately 7 of women using an IUD may have a finding of Actinomyces-like organisms on a Pap test. In the absence of symptoms, women with Actinomyces-like organisms on a Pap test do not need antimicrobial treatment or IUD removal. Actinomyces israelli is the species most commonly associated Plastic ine IUDs are associated with a greater prevalence of Actinomyces infection than are copper-bearing IUDs. IUD removal, antibiotic treatment, are recommended. 