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Do women actually lose more blood each month with the intrauterine contraceptive device (IUCD) in situ?

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Do women actually lose more blood each month with the intrauterine contraceptive device (IUCD) in situ?

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Women with a copper bearing IUCDs are more likely to experience more blood loss each month than nonusers. The increased blood loss typically occurs because of increased duration and heaviness of menstrual flow, but may also result from intermenstrual bleeding and spotting. In contrast to the copper IUCD, women with a progestin releasing intrauterine system (Mirena) will experience a reduction in the amount of menstrual bleeding as well as the duration after three to six months of use.

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