Moderate

A woman with heavy, painful menstrual bleeding wants a long-acting reversible method and has no pelvic infection or uterine abnormality. Which method may reduce her menstrual bleeding?

Correct answer: B. Levonorgestrel intrauterine system

  • A. Copper intrauterine device
  • B. Levonorgestrel intrauterine system
  • C. Calendar method
  • D. Male sterilisation

Explanation

The levonorgestrel intrauterine system releases progestogen locally and commonly reduces menstrual blood loss and cramps. Copper devices can increase bleeding and pain, while fertility awareness and sterilisation do not treat heavy menstruation.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.

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