Demography & Family Planning · NEET PG Preparation Community Medicine (PSM)
A 28-year-old multigravida woman, 6 weeks postpartum, visits the family planning clinic. She is exclusively breastfeeding her infant. She desires a h…
Practice question from Demography & Family Planning (NEET PG Preparation Community Medicine (PSM)), with the correct answer and a step-by-step solution.
medium · MCQ · Q-2A31D6
A 28-year-old multigravida woman, 6 weeks postpartum, visits the family planning clinic. She is exclusively breastfeeding her infant. She desires a highly effective, long-acting reversible contraceptive method that does not interfere with lactation and has a non-contraceptive benefit of reducing heavy menstrual bleeding. Which of the following is the most appropriate method for her?
- A.Copper-releasing IUD (Cu-T 380A)
- B.Levonorgestrel-releasing intrauterine system (LNG-IUS)Correct answer
- C.Depot medroxyprogesterone acetate (DMPA)
- D.Combined oral contraceptive pills (COCs)
Solution
The Levonorgestrel-releasing intrauterine system (LNG-IUS) provides excellent contraception, is safe during lactation, and significantly reduces menstrual blood loss and dysmenorrhea. Copper IUDs may increase menstrual blood loss. COCs and DMPA contain estrogen/progestins that can affect lactation (though progestin-only is preferred over COCs) and do not reduce menstrual bleeding in the same therapeutic manner as LNG-IUS.
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