Why do women often experience abnormal bleeding and pain following intrauterine contraceptive device (IUCD) insertion?
This combination of symptoms may be a physiological uterine response to the presence of the device. Pre-IUCD use of the combined OCP may also have masked irregular menstrual cycles. The progestin releasing intrauterine system (Mirena) however frequently alters the menstrual bleeding pattern because of the direct action of Levonorgestrel on the endometrium. When these symptoms occur on an isolated occasion the presence of a pregnancy complication (ectopic pregnancy, spontaneous abortion), pelvic infection, or malpositioning of the device( including perforation) should be considered.
Related Questions
- What should be done if a woman experiences persistent pain and abnormal bleeding with an intrauterine contraceptive device (IUCD) in situ?
- Do women actually lose more blood each month with the intrauterine contraceptive device (IUCD) in situ?
- What women are good candidates for the intrauterine contraceptive device (IUCD)?
