A 28-year-old woman requests the 52 mg LNG-IUS for contraception and heavy menstrual bleeding. She asks about expected bleeding in the first few month...

Question

A 28-year-old woman requests the 52 mg LNG-IUS for contraception and heavy menstrual bleeding. She asks about expected bleeding in the first few months. What should she be told?

Accepted Answer

Irregular bleeding and spotting are common in the first 3-6 months after LNG-IUS insertion. This typically settles, with most women experiencing lighter periods or amenorrhoea by 12 months

Answer

She will have no bleeding from the day of insertion

Answer

Heavy regular periods will continue unchanged

Answer

She will have a single heavy bleed then nothing

Answer

Bleeding only occurs if the device is malpositioned

uk-dfsrh MCQ (SBA): LNG-IUS Initial Irregular Bleeding Expected

A 28-year-old woman requests the 52 mg LNG-IUS for contraception and heavy menstrual bleeding. She asks about expected bleeding in the first few months. What should she be told?