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Published online by Cambridge University Press: 19 November 2021
A 33-year-old female, gravida 2, para 2, presents with irregular intermenstrual bleeding occurring each month since undergoing her second cesarean delivery 15 months ago. Since finishing breastfeeding, she has experienced light intermenstrual bleeding episodes following menses. She denies any change in bowel or bladder symptoms. She is sexually active with one partner using condoms and denies pain or bleeding with intercourse. She denies any history of sexually transmitted diseases or abnormal Pap test that required treatment. Her past medical and surgical histories are non-contributory. She is not taking any medications and denies medication allergy.
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