Intrauterine contraceptive devices


Which of the following levonorgestrel-containing IUD device is used for the treatment of menorrhagia-


A. 13.5 mg IUD
B. 19.5 mg
C. 52 mg
D. 65mg



Antifertility effects of IUD are all except


A. Decreasing tubal motility

B. Phagocytosis of sperms

C. Prevents implantation

D. Scanty cervical mucous



Not a contraindication for IUD insertion is


A. Undiagnosed genital tract bleeding
B. Large subserous myoma
C. Postpartum endometritis
D. Hepatic tumor



Which of the IUD is least likely to cause heavy menstrual loss


A. All third generation of IUDs

B. Only Multiload 375

C. Only Levonorgestrel IUS

D. Only Cu T 380A



Least likely to cause ectopic pregnancy is


A. LNG-IUS

B. Multiload 375

C. Copper T 200 B

D. Cu T 200



Regarding removal of IUD which is incorrect


A. Cu T 200- 3yrs

B. Multiload 375- 7yrs

C. LNG-IUS – 5 years

D. Cu T 380A- 10yrs



In Short


  • All IUDs are between 28 mm to 32 mm wide and 30 mm to 36 mm long. The smallest IUDs measure 28 mm wide and 30 mm long and are best suited for nulliparous and young women.
  • The two types of IUDs the copper-containing IUD and levonorgestrel-containing IUD are called long-acting reversible contraception (LARC). These have similar rates of preventing pregnancy, with failure rates of 0.08% and 0.02%, respectively.
  • LNG- IUS provides excellent benefits of Hormone Replacement Therapy (HRT) when used over the transition years of reproduction to perimenopause.

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