What should be done if a woman experiences persistent pain and abnormal bleeding with an intrauterine contraceptive device (IUCD) in situ?
If pain or abnormal bleeding persists after insertion of an IUCD, it is usually best to remove the device. If the woman wants to leave the device in place, it is important to rule out infection and complications of pregnancy as underlying causes. If these are excluded, the use of a non-steroidal anti-inflammatory (NSAID) (prior to and during menses) will reduce the volume of menstrual bleeding by up to 40 percent and will reduce prostaglandin-induced menstrual cramping.
Related Questions
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