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LNG-IUD duration over 45 — DFSRH MCQ

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HardIntrauterine methodsLNG-IUD duration over 45DFSRH

A 47-year-old had a 52 mg LNG-IUD inserted for contraception at age 46. She is amenorrhoeic, takes no HRT and asks when it needs replacing. She has no pelvic pain and threads are visible. What would you advise this patient?

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Correct answer: D — It can be used for contraception until age 55

A 52 mg LNG-IUD inserted at age 45 or older can be used for contraception until age 55 when not being used for HRT endometrial protection. Amenorrhoea with an LNG-IUD does not by itself diagnose menopause. The HRT protection interval is different and should not be confused with contraception duration.

Reference: FSRH Guideline Contraception for Women Aged Over 40 Years; FSRH Intrauterine Contraception