A 39-year-old woman attends the GP requesting the copper IUD. She reports heavy menstrual bleeding already requiring the use of super-plus tampons and...

Question

A 39-year-old woman attends the GP requesting the copper IUD. She reports heavy menstrual bleeding already requiring the use of super-plus tampons and night pads. She has not been investigated. Which is the single most appropriate initial action?

Accepted Answer

Advise against the copper IUD as it may worsen heavy bleeding; investigate the HMB and discuss the LNG-IUS as an alternative

Answer

Insert the copper IUD as requested - it will not worsen bleeding

Answer

Insert the copper IUD and prescribe tranexamic acid to counteract any additional bleeding

Answer

Refer for hysterectomy before considering any contraception

Answer

Prescribe the combined oral contraceptive pill instead

uk-drcog MCQ (SBA): Cu-IUD Inappropriateness with HMB

A 39-year-old woman attends the GP requesting the copper IUD. She reports heavy menstrual bleeding already requiring the use of super-plus tampons and night pads. She has not been investigated. Which is the single most appropriate initial action?