Appendix Algorithm for Abnormal Uterine Bleeding
First 4-6 months of use? Encourage continued use if mild symptoms. Can add NSAID (eg, ibuprofen 400 mg TID x 4 days starting day 1 of menses). Remove IUD. If abnormal bleeding persists and patient over age 35 do endometrial biopsy (Figure 10). Continued abnormal bleeding after 6 months or patient wants intervention now Yes No Figure 9.
Download Appendix Algorithm for Abnormal Uterine Bleeding
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