A patient presents with a history of heavy and painful menstrual periods (menorrhagia). They are seeking a long-term contraceptive solution. Which option is the most appropriate considering their medical history?
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BLevonorgestrel-releasing intrauterine system (LNG-IUS)
CCopper intrauterine device (IUD)
DProgestin-only injections
✓ Correct answer: B. Levonorgestrel-releasing intrauterine system (LNG-IUS)Answer: Levonorgestrel-releasing intrauterine system (LNG-IUS) The LNG-IUS is effective in reducing menorrhagia by thinning the endometrial lining, thereby decreasing menstrual blood loss and pain. The copper IUD is nonhormonal and does not address menorrhagia. Progestin-only injections can lead to irregular bleeding and are less effective in managing heavy menstrual periods. Vaginal diaphragms do not influence menstrual flow or pain.
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