Absolute: Allergy to copper. Malignant diseases & infections of genital tract. Undiagnosed vag bleeding. Past history of ectopic pregnancy or predisposing factors. STDs during the last 12 mth (except bacterial vaginitis, repeated herpes infection, hepatitis B). Abortion w/ infection during the last 3 mth. Pelvic inflammatory disease. Uterine malformations (congenital or acquired). Pregnancy. Relative: Anemia. Valvular heart disease. Coagulation disorders. Anti-inflammatory treatment. Wilson's disease. Multiple exposures to different sexual partners.
Heavier bleeding, indicating possible anemia. Remove if pregnancy has occurred due to risk of ectopic pregnancy or if exposed to conditions that substantially increase risk of pelvic inflammatory disease.
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