A 41-year-old perimenopausal woman using the levonorgestrel intrauterine system (Mirena) for contraception asks the GP when she can stop using contrac...

Question

A 41-year-old perimenopausal woman using the levonorgestrel intrauterine system (Mirena) for contraception asks the GP when she can stop using contraception. She has not had a natural period since the LNG-IUS was inserted at age 39. Which is the single most appropriate advice?

Accepted Answer

She should continue contraception until age 55

Answer

She can stop contraception now as she is over 40

Answer

She should continue contraception until age 50 and then check FSH levels

Answer

She can stop contraception after 12 months of amenorrhoea

Answer

She should stop the LNG-IUS, wait for natural cycles, then check FSH

uk-drcog MCQ (SBA): Contraception at Menopause

A 41-year-old perimenopausal woman using the levonorgestrel intrauterine system (Mirena) for contraception asks the GP when she can stop using contraception. She has not had a natural period since the LNG-IUS was inserted at age 39. Which is the single most appropriate advice?