Heavy Menstrual Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#471
SMLE Question #471
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 32-year-old G2P2 woman requests contraception. She has regular 28-day cycles with heavy menstrual bleeding and clots during the first 3 days of menses. She has no intermenstrual bleeding or pelvic pain and no known uterine pathology. She is otherwise healthy, a nonsmoker, and wants a highly effective, long-term, reversible method that may also reduce menstrual bleeding. What is the most appropriate contraceptive choice for this patient?
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