What should be done if a woman experiences amenorrhoea or a delayed period with an intrauterine contraceptive device (IUCD) in situ?

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What should be done if a woman experiences amenorrhoea or a delayed period with an intrauterine contraceptive device (IUCD) in situ?

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Pregnancy must be excluded. If the patient is not pregnant, her amenorrhoea should be managed as for a woman without an IUCD. The Mirena intrauterine system will cause amenorrhoea in approximately 25 percent of users. If she is post-menopausal, the device should be removed.

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