A woman with a 52 mg LNG-IUS in situ has been offered endometrial ablation for heavy menstrual bleeding. She asks whether the LNG-IUS must be removed ...

Question

A woman with a 52 mg LNG-IUS in situ has been offered endometrial ablation for heavy menstrual bleeding. She asks whether the LNG-IUS must be removed for the procedure. What should she be told?

Accepted Answer

The gynaecologist will advise - in some cases the LNG-IUS is removed at the time of ablation, in others it may be retained. IUC insertion AFTER ablation is generally not recommended due to altered cavity

Answer

The LNG-IUS must always be removed before ablation

Answer

She must switch to a Cu-IUD before ablation

Answer

The LNG-IUS prevents the need for ablation in all cases

Answer

Ablation is contraindicated with any IUC

uk-dfsrh MCQ (SBA): LNG-IUS and Endometrial Ablation

A woman with a 52 mg LNG-IUS in situ has been offered endometrial ablation for heavy menstrual bleeding. She asks whether the LNG-IUS must be removed for the procedure. What should she be told?