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If a woman complains of heavier menses or bleeding between menses, is there a medical basis for the IUD to be removed?

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If a woman complains of heavier menses or bleeding between menses, is there a medical basis for the IUD to be removed?

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Not necessarily. Women should be informed that menses are normally heavier with the copper IUD and that intermenstrual bleeding may occur, especially in the first few months. Give nutritional advice on the need to increase the intake of foods containing iron.

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