A 30-year-old woman with a prosthetic heart valve on warfarin requests a LARC method. She asks about the 52 mg LNG-IUS. What additional consideration ...

Question

A 30-year-old woman with a prosthetic heart valve on warfarin requests a LARC method. She asks about the 52 mg LNG-IUS. What additional consideration applies?

Accepted Answer

IUC insertion in women on anticoagulation requires careful clinical assessment regarding bleeding risk; the INR should be checked and insertion performed by an experienced clinician. The LNG-IUS may be particularly beneficial as it reduces menstrual blood loss

Answer

No additional consideration

Answer

IUC is absolutely contraindicated on warfarin

Answer

Only the Cu-IUD can be used

Answer

She must stop warfarin before insertion

uk-dfsrh MCQ (SBA): IUC Insertion on Warfarin Clinical Assessment

A 30-year-old woman with a prosthetic heart valve on warfarin requests a LARC method. She asks about the 52 mg LNG-IUS. What additional consideration applies?