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It highlights potential side effects of Copper IUDs, such as mild discomfort during insertion, spotting, cramping, and heavier bleeding during menses. Crucially, it emphasizes that both types of IUDs are unaffected by lubricants, weight fluctuations, and require monthly string checks by the patient after menses to ensure proper placement. Any deviation in string length (longer, shorter, or missing) necessitates reporting to a healthcare provider. The document also alerts to a critical teaching point: random missed periods are not normal and could indicate pregnancy, a potential NCLEX trick. Furthermore, it delves into the contraindications for estrogen use, stating it should not be given to patients who smoke due to an increased risk of blood clots. This is presented alongside a memory trick to associate these risks with conditions like MI (Myocardial Infarction), DVT (Deep Vein Thrombosis), PE (Pulmonary Embolism), and CVA stroke. Patient teaching also includes reporting severe leg pain, swelling, or vision loss as these could indicate DVT or CVA. Questions relevant to HESI, Kaplan, and ATI exams are included, covering topics like the risks of estrogen and smoking, contraindications for estrogen therapy in patients with thrombophlebitis, and the interaction of Medroxyprogesterone acetate with oral contraceptives.",{"@graph":69,"@context":105},[70,84],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/contraception/27302/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/contraception/27302.png","ImageObject",300,407,{"name":92,"@type":93},"Jiven","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","2026-05-08",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction","https://schema.org",{"og:url":107,"og:type":108,"og:title":65,"og:site_name":95,"og:description":67},"https://docshare.wps.com/document/contraception/27302","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},27302,1778274671,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":92,"user_avatar":117,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":66,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":122,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":66,"faqs":66,"seo_title":123,"seo_description":67,"update_tm":113,"read_time":81},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","cbCairFwuJCMnuUD","https://ap.wps.com/l/cbCairFwuJCMnuUD","pdf",785884,"English","Contraception | PDF"]