A woman has a 52 mg LNG-IUS and develops a submucosal fibroid that is now distorting the uterine cavity. She has increased bleeding. What should be co...

Question

A woman has a 52 mg LNG-IUS and develops a submucosal fibroid that is now distorting the uterine cavity. She has increased bleeding. What should be considered?

Accepted Answer

The fibroid may be contributing to increased bleeding and the IUC may be at risk of malposition or expulsion; gynaecological referral for assessment of the fibroid and IUC position is appropriate

Answer

No action needed; the LNG-IUS treats fibroids

Answer

Remove the LNG-IUS immediately without investigation

Answer

Switch to a Cu-IUD

Answer

The fibroid will shrink with the LNG-IUS in situ

uk-dfsrh MCQ (SBA): Submucosal Fibroid with LNG-IUS Referral

A woman has a 52 mg LNG-IUS and develops a submucosal fibroid that is now distorting the uterine cavity. She has increased bleeding. What should be considered?