Q:

A 28 year old lady presents with dyspareunia and dysmenorrhea. She is very obese. She now wants reversible contraceptive method. Which of the following will be most suitable for her?

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A 28 year old lady presents with dyspareunia and dysmenorrhea. She is very obese. She now wants reversible contraceptive method. Which of the following will be most suitable for her?


  1. Mirena
  2. COCP
  3. POP
  4. Copper T
  5. Barrier method

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The key is A. Mirena. [Mirena has beneficial effect on both dyspareunia and dysmenorrhea but with

some degree of weight gain (nearly 3.1kg after 5 yrs of use which is less than weight gain with other

methods like depot provera (8.2 kg) and 4.9 kg with copper IUD].

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