skip to main content

Unscheduled bleeding with LNG-IUS — DRCOG MCQ

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

EasyContraceptionUnscheduled bleeding with LNG-IUSDRCOG

A 31-year-old woman had a levonorgestrel IUS fitted 2 months ago. She has light irregular bleeding but no pain, discharge, pregnancy symptoms or STI risk. The threads are visible. What would you advise?

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

Reveal the answer and explanation

Correct answer: B — Irregular bleeding is common in the first few months

Irregular bleeding is common during the first 3 to 6 months after LNG-IUS insertion. Absence of pain, discharge, pregnancy symptoms and visible threads makes serious pathology less likely, although safety-netting is needed. The bleeding pattern does not confirm PID or contraceptive failure. Persistent or new bleeding after an initial settling period should be assessed.

Reference: FSRH Intrauterine Contraception; NICE NG88