N92.1/T83.3 + (Z30.4/8/9)
GENERAL MEASURES
Where there is excessive bleeding after insertion:
- Exclude perforation of the uterus.
Abnormal bleeding for >3 months:
- Exclude cervical or pelvic infection, partial expulsion, intrauterine or ectopic pregnancy (rare) or other pathology.
If no pathology is detected:
- Counsel.
MEDICINE TREATMENT
If no pathology is detected:
- NSAID, e.g.:
- Ibuprofen, oral, 400 mg 8 hourly with or after a meal for 5 days.
- Follow up and if bleeding is unacceptable, offer alternative contraception and remove IUCD.