Contraception · NEET PG Preparation Obstetrics & Gynaecology
A 32-year-old multiparous woman requests long-acting reversible contraception. She has a history of heavy menstrual bleeding and dysmenorrhea. Which…
Practice question from Contraception (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.
easy · MCQ · Q-841D07
A 32-year-old multiparous woman requests long-acting reversible contraception. She has a history of heavy menstrual bleeding and dysmenorrhea. Which of the following intrauterine devices would provide the dual benefit of contraception and reduction of menstrual blood loss?
- A.Copper T 380A
- B.Levonorgestrel-releasing intrauterine system (LNG-IUS)Correct answer
- C.Multiload 375
- D.Inert plastic loop (Lippes Loop)
Solution
The levonorgestrel-releasing intrauterine system (LNG-IUS, e.g., Mirena, Levosert) causes endometrial atrophy and significantly reduces menstrual blood loss and dysmenorrhea, making it an ideal choice for women with menorrhagia. Copper IUDs, by contrast, frequently cause heavier and more painful menses.
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