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Appendix E: Management of Women with Bleeding Irregularities While Using Contraception

Appendix E shows a flow chart describing the management of women with bleeding irregularities while using contraception.

Abbreviations: CHC = combined hormonal contraceptive; COC = combined oral contraceptive; Cu-IUD = copper-containing intrauterine device; DMPA = depot medroxyprogesterone acetate; LNG-IUD = levonorgestrel-releasing intrauterine device; NSAIDs = nonsteroidal antiinflammatory drugs.

* If clinically warranted, evaluate for underlying condition. Treat the condition or refer for care.

† Heavy or prolonged bleeding, either unscheduled or menstrual, is uncommon.

Alternate Text: Appendix E shows a flow chart describing the management of women with bleeding irregularities while using contraception.


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