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Gynaecology & Obstetrics Non-Hormonal - Intrauterine Devices a049d194

Best IUCD for a woman with menorrhagia is:

A
Lippe loop
B
Cu-T 375
C
Cu-T 200
D
Levonorgestrel IUCD
High-Yield Explanation
Ref: Shaw's Textbook of Gynaecology 15th Edition Pg: 230Explanation:Levonorgestrel I LCD is progesterone impregnated IUCD and is recommended to control bleeding in menorrhagia.Other non contraceptive benefits of LNG IUCD:DUBEndometrial hyperplasiaIntrauterine contraceptive devices (IUCD)Biologically inert devices : Lippe's loop Copper containing devices : Copper T Hormonal IUCDS : Progestasert, Levonova, MI RENAHormonal IUCDsProgestasert38mg of ProgesteroneReleases 65 micrograms/dayEffective for 1 year40% reduction in Menorrhagia40%' reduction in DysmenorrheaLevonova60 mg of LevonorgestrelReleases 20 micrograms/dayIncreased chances of ectopic pregnancySafe during lactationEffective for 5 yearsMIRENA52 mg of levonorgestrelReleases 25 micrograms/dayDoes not suppress ovulationActs on endometrium and cervical mucusUsed in DUB. Endometrial hyperplasia. HRTEffective for 5 years

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