A woman with a 52 mg LNG-IUS reports persistent intermenstrual bleeding 8 months after insertion. Pregnancy and STIs have been excluded. What is the n...

Question

A woman with a 52 mg LNG-IUS reports persistent intermenstrual bleeding 8 months after insertion. Pregnancy and STIs have been excluded. What is the next appropriate step?

Accepted Answer

Reassure; if bleeding continues beyond 6 months, consider investigation including pelvic ultrasound and cervical assessment

Answer

Remove the LNG-IUS

Answer

Prescribe oral progestogen long-term

Answer

Switch to a Cu-IUD

Answer

No investigation is ever needed for LNG-IUS bleeding

uk-dfsrh MCQ (SBA): LNG-IUS Persistent IMB Investigation

A woman with a 52 mg LNG-IUS reports persistent intermenstrual bleeding 8 months after insertion. Pregnancy and STIs have been excluded. What is the next appropriate step?