LNG-IUD and epilepsy — DFSRH MCQ

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EasyUKMECLNG-IUD and epilepsyDFSRH

A 30-year-old woman taking sodium valproate asks for an LNG-IUD. She wants a method unaffected by medication interactions. What is the UKMEC category for LNG-IUD?

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Correct answer: C — UKMEC 1

LNG-IUD effectiveness is not affected by enzyme-inducing antiseizure medicines and epilepsy is not a contraindication. Valproate adds preconception counselling importance, but not IUD restriction. Method efficacy and teratogenic risk counselling both matter.

Reference: UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) 2025; FSRH Clinical Guidelines