A woman with a 52 mg LNG-IUS reports she has developed galactorrhoea (milk production without pregnancy or breastfeeding). She is not pregnant. What s...

Question

A woman with a 52 mg LNG-IUS reports she has developed galactorrhoea (milk production without pregnancy or breastfeeding). She is not pregnant. What should be done?

Accepted Answer

Galactorrhoea is not a typical side effect of the LNG-IUS. She should be investigated for other causes, particularly hyperprolactinaemia (prolactin level, consider pituitary imaging if elevated). The LNG-IUS does not need to be removed pending investigation

Answer

This is a normal side effect of the LNG-IUS

Answer

Remove the LNG-IUS immediately as it caused the galactorrhoea

Answer

Galactorrhoea always indicates breast cancer

Answer

No investigation needed; it will resolve spontaneously

uk-dfsrh MCQ (SBA): Galactorrhoea with LNG-IUS Investigate Not Typical

A woman with a 52 mg LNG-IUS reports she has developed galactorrhoea (milk production without pregnancy or breastfeeding). She is not pregnant. What should be done?