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Diabetes and Endocrinology

Multiple complaints in a tired woman with vaginal bleeding

Barbara A. Majeroni, MD

 

The nurse’s note read “IUD removal—bleeding,” so I was surprised as I entered the room to see a woman who appeared 20 years older than the 36 years noted on the chart. Since Mrs V was a new patient, I took some history. She spoke slowly and seemed tired and uninterested. In good health until recently, she had not seen a doctor since her postpartum visit after the birth of her 11-year-old son. That was when her intrauterine device (IUD) was inserted.

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