A 36-year-old woman attends the GP requesting the Mirena LNG-IUS for heavy menstrual bleeding. She has an active untreated Chlamydia trachomatis infec...

Question

A 36-year-old woman attends the GP requesting the Mirena LNG-IUS for heavy menstrual bleeding. She has an active untreated Chlamydia trachomatis infection, confirmed on NAAT today. Which is the single most appropriate management?

Accepted Answer

Treat the chlamydia, and the LNG-IUS can be inserted at the same visit provided antibiotics have been started

Answer

Insert the LNG-IUS today and treat the chlamydia simultaneously

Answer

Treat the chlamydia first and insert the LNG-IUS once treatment is completed and a test of cure performed

Answer

The LNG-IUS is contraindicated in women with a history of any STI

Answer

Defer LNG-IUS insertion for 6 months

uk-drcog MCQ (SBA): IUS Insertion with Active STI

A 36-year-old woman attends the GP requesting the Mirena LNG-IUS for heavy menstrual bleeding. She has an active untreated Chlamydia trachomatis infection, confirmed on NAAT today. Which is the single most appropriate management?