MSFinals-1921

A 55-year-old woman with a body mass index of 32 kg/m² and type 2 diabetes mellitus presents to you. She has had a Mirena coil (levonorgestrel-releasing intrauterine system) for the past 3 years and has been without periods since 4 months after insertion. Recently, she has experienced 2 episodes of post-coital bleeding and a 4-day episode of vaginal bleeding. What is the best course of action for management?