A 31-year-old woman with a 52 mg LNG-IUS in situ develops postcoital bleeding 18 months after insertion. She has no other symptoms and STI screening i...

Question

A 31-year-old woman with a 52 mg LNG-IUS in situ develops postcoital bleeding 18 months after insertion. She has no other symptoms and STI screening is negative. What further assessment is needed?

Accepted Answer

Cervical assessment including checking cervical screening history, and consideration of referral if cervical screening is overdue or abnormal

Answer

No assessment needed; this is normal with the LNG-IUS

Answer

Remove the LNG-IUS immediately

Answer

Prescribe antibiotics empirically

Answer

Switch to a Cu-IUD

uk-dfsrh MCQ (SBA): Postcoital Bleeding Investigation with LNG-IUS

A 31-year-old woman with a 52 mg LNG-IUS in situ develops postcoital bleeding 18 months after insertion. She has no other symptoms and STI screening is negative. What further assessment is needed?