CDC approach to management of women with bleeding irregularities while using contraception

Cu IUD: copper-containing intrauterine device; LNG IUD: levonorgestrel-releasing intrauterine device; DMPA: depot medroxyprogesterone acetate; CHC: combined hormonal contraceptive; NSAIDs: nonsteroidal anti-inflammatory drugs; COC: combined oral contraceptive.
* If clinically warranted, evaluate for underlying condition. Treat the condition or refer for care.
¶ Heavy or prolonged bleeding, either unscheduled or menstrual, is uncommon.