A woman using a copper intrauterine device asks what menstrual change may occur during the first months. Which response is correct?
Correct answer: A. Menstrual bleeding may become heavier and cramps may increase
- A. Menstrual bleeding may become heavier and cramps may increase
- B. Menstruation always stops permanently after insertion
- C. The device usually causes severe fever every month
- D. Bleeding becomes lighter because copper suppresses ovulation
Explanation
A copper intrauterine device may cause heavier or longer menstrual bleeding and increased cramping, especially during the first months. Persistent severe pain, fever, or abnormal discharge requires assessment rather than being accepted as a normal effect.
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Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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