IMPORTANT: Thorough counseling about bleeding changes must come before IUD insertion. Counseling about bleeding changes may be the most important help a woman needs to keep using the method.
Describe the most common side effects
Changes in bleeding patterns:
No monthly bleeding, lighter bleeding, fewer days of bleeding, infrequent or irregular bleeding.
Acne, headaches, breast tenderness and pain, and possibly other side effects.
Explain about these side effects
Bleeding changes usually are not signs of illness.
Usually become less after the first several months after insertion.
The client can come back for help if side effects bother her.
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