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    Subjects/OBG/IUCDs — Copper and Hormonal
    IUCDs — Copper and Hormonal
    medium
    baby OBG

    A 32-year-old multiparous woman attends the family planning clinic requesting contraception. She has no contraindications to any method. On examination, her uterus is found to be retroverted with a depth of 6 cm on sounding. She is counselled about copper IUCD and hormonal IUCD options. After insertion of a copper IUCD 3 weeks ago, she presents with severe dysmenorrhoea and menorrhagia. What is the most appropriate next step in management?

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