A woman with a 52 mg LNG-IUS inserted at age 46 is now 53. She has been using transdermal oestrogen for HRT with her LNG-IUS providing endometrial pro...

Question

A woman with a 52 mg LNG-IUS inserted at age 46 is now 53. She has been using transdermal oestrogen for HRT with her LNG-IUS providing endometrial protection. The LNG-IUS was inserted 7 years ago. What needs to happen regarding endometrial protection?

Accepted Answer

The 5-year endometrial protection period has expired (at 7 years). She needs the LNG-IUS replaced for endometrial protection, OR additional progestogen added. The device can remain for contraception until age 55

Answer

Nothing - the device still provides endometrial protection

Answer

The device has expired for all purposes

Answer

She should stop HRT

Answer

She must switch to a Cu-IUD

uk-dfsrh MCQ (SBA): LNG-IUS 7 Years HRT Protection Expired Contraception Continues

A woman with a 52 mg LNG-IUS inserted at age 46 is now 53. She has been using transdermal oestrogen for HRT with her LNG-IUS providing endometrial protection. The LNG-IUS was inserted 7 years ago. What needs to happen regarding endometrial protection?