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Breast cancer and contraception — DRCOG MCQ

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HardContraception and Sexual HealthBreast cancer and contraceptionDRCOG

A 32-year-old woman with a levonorgestrel IUS fitted 2 years ago is diagnosed with breast cancer. She asks whether she can keep the device for contraception. What is the most appropriate management?

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

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Correct answer: E — Advise removal and discuss non-hormonal contraception

Current breast cancer is a contraindication to progestogen-containing contraception, including LNG-IUS, so removal and non-hormonal options should be discussed. Local delivery does not remove the hormonal contraindication. The pearl is that UKMEC categories apply to intrauterine hormonal methods as well as systemic methods.

Reference: FSRH UKMEC 2025; FSRH Intrauterine Contraception