A study published in the New England Journal of Medicine indicates that women who have heavy menstrual bleeding may experience relief with the use of a levonorgestrel-containing intrauterine device (IUD).  The study randomized 571 British women to receive either the IUD or to standard medication therapy.  Patients receiving the IUD reported improvements in symptoms and quality of life.  After 2 years, more women were still using the IUD compared to standard therapy. Based on your experience, why may patients prefer an IUD over oral contraceptives for heavy menstrual bleeding?

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