A 28 year old woman requests contraception from the GP surgery

A 28 year old woman requests contraception from the GP surgery. She has a 28 day menstrual cycle with a 6 day very heavy menstrual bleed. She had a pulmonary embolism in her previous pregnancy.

Which is the most appropriate contraception?

  1. Combined oral contraceptive pill
  2. Copper intrauterine contraceptive device
  3. Levonorgestrel-releasing intrauterine system (Mirena coil)
  4. Progestogen implant
  5. Progestogen-only pill

C. Levonorgestrel-releasing intrauterine system (Mirena coil)

Explanation:

UKMEC Guidance
https://www.fsrh.org/standards-and-guidance/documents/ukmec-2016-summary-sheets/