I had an IUD, Mirena, put in last Wednesday, and found out Yesterday that my pap smear from Wednesday came back positive for chlamydia. I have already taken the 1g of azithromycin. Should I have the IUD removed?
As long as you're having no pain, I think it's safe to leave the IUD in place. The azithromycin will be able to eradicate the chlamydia even with the IUD present. If you were feeling ill with a fever and pain, then I would recommend removing the IUD, since that would represent a significant infection, rather than just the presence (and probable low grade infection) of chlamydia. Best wishes.
30 years experience in OB/GYN including teaching students.