Q:

A 45 year old lady came to family planning clinic for contraception advice. She is not keen to be pregnant for the next 3 years. Her recent US showed multiple small submucosal fibroid. What is the best method of contraception for her?

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A 45 year old lady came to family planning clinic for contraception advice. She is not

keen to be pregnant for the next 3 years. Her recent US showed multiple small

submucosal fibroid. What is the best method of contraception for her?


  1. Etonogestrol
  2. COCP
  3. IUS
  4. POP
  5. IUCD

All Answers

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The key is C. IUS. [IUS gives 3-5 yrs long contraception. It also helps to shrink the fibroid. IUS is

contraindicated if fibroids distord the uterine cavity but if not distorted as here with small fibroids it is

the contraception of choice].

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