A woman has a Cu-IUD in situ and develops menorrhagia with clots. Her Hb is 92 g/L. She wishes to keep the Cu-IUD. Medical management has been tried w...

Question

A woman has a Cu-IUD in situ and develops menorrhagia with clots. Her Hb is 92 g/L. She wishes to keep the Cu-IUD. Medical management has been tried without improvement. What should be offered?

Accepted Answer

Discuss removing the Cu-IUD and switching to a 52 mg LNG-IUS, which would address both contraception and heavy menstrual bleeding

Answer

Continue the Cu-IUD without change

Answer

Add a COC to the Cu-IUD

Answer

Prescribe oral iron only

Answer

Refer for hysterectomy as first-line

uk-dfsrh MCQ (SBA): Cu-IUD Menorrhagia Switch to LNG-IUS

A woman has a Cu-IUD in situ and develops menorrhagia with clots. Her Hb is 92 g/L. She wishes to keep the Cu-IUD. Medical management has been tried without improvement. What should be offered?