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IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for up to 8 YEARS use for contraception. Progesterone levels decline after year 5 and thus extended use for other indications (heavy menstrual bleeding, simple endometrial hyperplasia) may vary. ****** Dr. Kristina Dervaitis, a gynecologist in Newmarket, Ontario (Canada) answers your questions about IUC. ❓WHAT IS ENDOMETRIAL HYPERPLASIA? ❓What are the risk factors? ❓How is it diagnosed? ❓What is the difference between endometrial hyperplasia with or without atypia? ❓What are the treatment options? ❓What are the advantages of the levonorgestrel (hormonal) IUD as first line treatment? ❓What is the long term management? Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western Univers ityn