A 38-year-old woman with heavy menstrual bleeding requiring haematinics requests a long-acting reversible contraceptive that will also reduce her blood loss. The best-suited method is:
- A Combined oral contraceptive pills
- B Copper-T 380A
- C Levonorgestrel-releasing intrauterine system (LNG-IUS) ✓
- D No-scalpel vasectomy for her husband
Correct answer: C. Levonorgestrel-releasing intrauterine system (LNG-IUS)
Explanation
The LNG-IUS releases levonorgestrel locally, producing marked decidual thinning and suppression of endometrium, reducing menstrual blood loss substantially over its 5-year life; it is an established treatment for menorrhagia. The copper IUD tends to increase menstrual bleeding and dysmenorrhoea, making it unsuitable here. COCPs help bleeding but are user-dependent rather than long acting, and vasectomy does not treat her problem.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.