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Case presentation The consent for publication was obtained from the patient and approved by Jinhua Central Hospital Medical Ethics Review Committee (2023No.202)

For ongoing heavy menstrual bleeding, your GP may consider hormonal treatments such as the levonorgestrel intrauterine system (Mirena coil), which according to NICE guidance (NG88) can reduce menstrual bleeding by 71-95% and is also an effective contraceptive

Two authors assessed the risk of bias for each study through five aspects: random sequence generation, allocation concealment, blinding, incomplete outcome data and selective reporting

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