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You should contact your GP or prescribing clinician if you experience: Heavy bleeding that soaks through a pad or tampon every hour for several consecutive hours Bleeding accompanied by severe abdominal or pelvic pain , particularly if sudden in onset Postcoital bleeding (bleeding after sexual intercourse) Postmenopausal bleeding (any vaginal bleeding occurring 12 months or more after your last menstrual period) Persistent irregular bleeding lasting more than three consecutive cycles Spotting accompanied by other concerning symptoms such as fever, unusual vaginal discharge, or dizziness Any bleeding if you could be pregnant (pregnancy should be excluded, as Saxenda should not be used during pregnancy) In line with NICE guidance (NG12), postmenopausal bleeding should be referred urgently (within two weeks) for specialist assessment to exclude endometrial cancer

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