Needle phobia and LARC — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardSpecial CircumstancesNeedle phobia and LARCDFSRH

A 23-year-old with severe needle phobia wants reliable contraception and has heavy periods. She declines injections and implant but accepts pelvic procedures with analgesia. What is the most appropriate contraceptive method?

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

Reveal the answer and explanation

Correct answer: D — 52 mg LNG-IUD

The best answer is “52 mg LNG-IUD”. A 52 mg LNG-IUD fits her preference, avoids needles after procedure planning, and may improve heavy bleeding. Copper IUD may worsen bleeding. The best method is individualised, not simply the most familiar LARC. Progestogen-only methods have product-specific initiation, missed-pill and interaction rules. Amenorrhoea is a method effect and does not by itself establish menopause, while a new change in bleeding pattern still requires appropriate assessment. Enzyme induction can reduce pill or implant effectiveness, whereas DMPA and intrauterine methods are generally unaffected.

Reference: CoSRH/FSRH, Progestogen-only Implant: https://www.cosrh.org/Common/Uploaded%20files/documents/fsrh-guideline-progestogen-only-implants.pdf