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LNG-IUS for HMB and contraception — DRCOG MCQ

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EasyGynaecologyLNG-IUS for HMB and contraceptionDRCOG

A 40-year-old woman wants contraception and treatment for heavy regular menstrual bleeding. Pelvic examination is normal and there are no red-flag symptoms. What would you advise?

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Correct answer: AA levonorgestrel intrauterine system can address both contraception and bleeding

The LNG-IUS is effective contraception and first-line treatment for many women with heavy menstrual bleeding when acceptable. Copper IUDs can increase bleeding and pain. Barrier methods prevent pregnancy but do not treat heavy bleeding. Sterilisation is permanent contraception and does not manage heavy menstrual bleeding.

Reference: NICE NG88; FSRH Intrauterine Contraception