I am assuming you are talking about copying a document from another application like Word. You will need to do an import to get the images to come in. If copying from a web based document then they should come in. What are you specifically coping from?
You better add the document using the word macro if you don't want to add the attachments manually.
Copy/paste from any other application to Confluence won't always give you the expected results.
You can also copy/paste the text only but then add the attachments manually.
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