A woman on long-term anticoagulation with warfarin for atrial fibrillation asks about the LNG-IUS. She is concerned about bleeding at insertion. What ...

Question

A woman on long-term anticoagulation with warfarin for atrial fibrillation asks about the LNG-IUS. She is concerned about bleeding at insertion. What should she be counselled?

Accepted Answer

IUC insertion is possible on warfarin with careful clinical assessment; INR should be checked and ideally within therapeutic range. An experienced clinician should perform the insertion. The LNG-IUS may actually benefit her by reducing menstrual bleeding

Answer

IUC insertion is absolutely contraindicated on warfarin

Answer

She must stop warfarin 2 weeks before insertion

Answer

Only the Cu-IUD can be inserted on warfarin

Answer

She needs heparin bridging for IUC insertion

uk-dfsrh MCQ (SBA): LNG-IUS Insertion on Warfarin Benefits

A woman on long-term anticoagulation with warfarin for atrial fibrillation asks about the LNG-IUS. She is concerned about bleeding at insertion. What should she be counselled?