IUD of choice in menorrhagia: (Repeat)
High-Yield Explanation
Ans: D (Levonorgestrel IUCD) Ref: Shaw's Textbook of Gynaecology 15th Edition Pg: 230Explanation:Levonorgestrel IUCD 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 loopCopper containing devices : CopperT Hormonal IUCDS : Progestasert, Levonova, MIRENAHormonal IUCDs Progesterone38mg 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