Question

Use of Levo-Norgestrel Releasing intrauterine contraceptive device is helpful in all of the following conditions except:

• A. Menorrhagia
• B. Dysmenorrhea
• C. Premenstrual symptoms
• D. Pelvic inflammatory disease

Hint:

LNG-IUS helps heavy/painful periods and PMS but active PID is a contraindication to insertion, not an indication.

Answer 1

The Correct Option is D

The LNG-IUS works by releasing a steady dose of levonorgestrel inside the uterus. Let's check each condition listed.

1. Menorrhagia: the device thins the endometrial lining, so monthly blood loss drops sharply. It is a standard treatment for heavy periods.
2. Dysmenorrhea: less endometrial bulk and lower prostaglandin release mean less cramping, so it helps with painful periods too.
3. Premenstrual symptoms: by flattening the usual cyclical hormone swings acting on the endometrium, many users report milder premenstrual complaints.
4. Pelvic inflammatory disease: this is the opposite case. Any active or recent pelvic infection is a reason to avoid inserting an IUD altogether, since the procedure can carry bacteria upward. The device does not treat PID, and PID is a contraindication to fitting it.

Let's summarize:

• LNG-IUS eases menorrhagia, dysmenorrhea, and premenstrual symptoms through local progestin action.
• Active pelvic inflammatory disease is a contraindication to insertion, not a condition it treats.

So the exception is pelvic inflammatory disease.