How do you manage persistent, irregular menstrual bleeding following insertion of a hormonal IUD (assuming no structural abnormalities or coagulation disorders)?

Levonorgestrel IUDs are frequently used to control heavy menstrual bleeding, so it can be incredibly frustrating to patients (and physicians) when they don’t. It is important to remember that bleeding patterns following insertion of a Levonorgestrel IUD may be difficult to predict, but will generall...