A 38-year-old woman with heavy menstrual bleeding requiring hematinics wants long-acting reversible contraception. Besides contraception, which method would directly treat her complaint?

• A Copper-T 380A
• B Centchroman weekly
• C DMPA injection every 3 months
• D Levonorgestrel-releasing intrauterine system ✓

Explanation

The levonorgestrel-releasing intrauterine system delivers levonorgestrel locally, producing decidualized, inactive endometrium and markedly reduced menstrual blood loss, often by 70 to 90 percent, making it a recognized medical treatment for menorrhagia. The copper IUD tends to increase menstrual bleeding and dysmenorrhea, which is exactly what this patient cannot afford. DMPA may cause amenorrhea but systemic progestogen effects limit its appeal here.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.