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LNG-IUD for heavy menstrual bleeding — DFSRH MCQ

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EasyIntrauterine contraceptionLNG-IUD for heavy menstrual bleedingDFSRH

A 37-year-old woman with heavy regular periods requests contraception. She has no STI risk, a normal pelvic examination and wants lighter bleeding. What is the most appropriate contraceptive method?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — 52 mg LNG-IUD

The 52 mg LNG-IUD is highly effective and can reduce heavy menstrual bleeding. Copper IUDs may increase bleeding and pain, making them a less suitable first choice. The best method should address both contraception and menstrual symptoms.

Reference: FSRH Intrauterine Contraception Guideline 2023; UKMEC 2025; BNF