A woman presents to the SRH clinic worried about a missed period while using the 52 mg LNG-IUS. Her device was inserted 18 months ago. She has had lig...

Question

A woman presents to the SRH clinic worried about a missed period while using the 52 mg LNG-IUS. Her device was inserted 18 months ago. She has had lighter periods since insertion but this month had no bleeding at all. A pregnancy test is negative. What should she be told?

Accepted Answer

Amenorrhoea with the 52 mg LNG-IUS is a common and expected finding; with a negative pregnancy test, no further action is needed. She should return if she has concerns about pregnancy in the future

Answer

She must have the LNG-IUS removed for investigation

Answer

The LNG-IUS has expelled

Answer

She needs a pelvic ultrasound

Answer

She should start taking a POP in addition to the LNG-IUS

uk-dfsrh MCQ (SBA): LNG-IUS Amenorrhoea Negative Pregnancy Test Reassure

A woman presents to the SRH clinic worried about a missed period while using the 52 mg LNG-IUS. Her device was inserted 18 months ago. She has had lighter periods since insertion but this month had no bleeding at all. A pregnancy test is negative. What should she be told?