How should I manage vaginal bleeding associated with use of the copper intrauterine device (IUD)?
• Reassure the woman that menstrual irregularities (spotting, light bleeding, heavy and/or prolonged menstruation) are common in the first 3–6 months but usually subside. • Consider prescribing mefenamic acid for spotting/light bleeding or tranexamic acid for heavy and/or prolonged bleeding. • To prevent anaemia, provide an iron supplement and/or encourage consumption of foods containing iron.
Related Questions
- How should I manage abnormal vaginal bleeding associated with use of the levonorgestrel-releasing intrauterine system (IUS)?
- How should I manage vaginal bleeding associated with use of the copper intrauterine device (IUD)?
- How should I manage a woman using a copper intrauterine device (IUD) who may be pregnant?
