A 28-year-old woman attends the GP requesting removal of her LNG-IUS (Mirena). She has had it in situ for 3 years and has been amenorrhoeic throughout...

Question

A 28-year-old woman attends the GP requesting removal of her LNG-IUS (Mirena). She has had it in situ for 3 years and has been amenorrhoeic throughout. She plans to conceive. She asks whether her periods will return immediately. Which is the most accurate advice?

Accepted Answer

Periods typically return within 1 month of removal, and fertility returns rapidly

Answer

It takes at least 6 months for periods and fertility to return

Answer

Periods may never return after LNG-IUS use

Answer

She should wait 3 months before trying to conceive

Answer

She must have a withdrawal bleed before fertility returns

uk-drcog MCQ (SBA): Fertility Return After LNG-IUS Removal

A 28-year-old woman attends the GP requesting removal of her LNG-IUS (Mirena). She has had it in situ for 3 years and has been amenorrhoeic throughout. She plans to conceive. She asks whether her periods will return immediately. Which is the most accurate advice?