What Are The Options For Heavy Periods
Heavy periods can be treated medically or surgically. Commonly used medical options include combined contraceptive pills, tranexamic acid tablets, non-steroidal anti-inflammatory drugs such as Ponstan, and the Mirena IUS.
Surgical options, which are usually performed if medical treatment fails to control the periods adequately, include endometrial ablation and hysterectomy. In endometrial ablation, a variety of techniques are used to destroy the lining of the womb. Compared to hysterectomy, it is a much smaller procedure that is usually carried out as a day case. It will take you 1 to 2 weeks before returning to work.
Hysterectomy is the removal of the womb. It is a major operation requiring a general anaesthetic. A hysterectomy may require up to five days stay in the hospital and it may be 4 6 months before full recovery.
It Also Depends On The Type Of Iud You Get
There are four hormonal IUDs Mirena, Kyleena, Liletta, and Skyla and one copper IUD ParaGard.
Hormonal IUDs may make your periods lighter. Some people dont get periods at all while on them.
Copper IUDs often make periods heavier and crampier. However, this may not be a permanent change. Your period may return to its usual state after about six months.
Hormonal birth control can throw off your menstrual cycle. At first, your periods may be heavier than usual. Eventually, the bleeding should get lighter.
Can The Iud Cause Any Serious Health Problems
In about 1 in 500 users, a small hole in the wall of the uterus may be created while the IUD is being inserted. The IUD can move through the hole and sit in the wrong place. If this happens, keyhole surgery is required to have the IUD removed.
Around 1 in 300 users get an infection when the IUD is first inserted. This can be successfully treated with antibiotics.
It is very unlikely to get pregnant when using an IUD. If you do get pregnant with an IUD in place, there is a higher chance of ectopic pregnancy. This means that the pregnancy may settle in the fallopian tubes . This should be medically assessed urgently and treated as required.
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Side Effects Of The Mirena Iud
The Mirena® IUD may cause a change with your periods. For the first 3 to 6 months, your monthly period may become irregular. You may also have frequent spotting or light bleeding. A few women have heavy bleeding during this time. After your body adjusts, the number of bleeding days is likely to decrease, and you may even find that your periods stop altogether.
There are several common side effects of MIRENA® Cramps, dizziness, or faintness while MIRENA® is being inserted. This is common. Sometimes, the cramping is severe. Missed menstrual periods. About 2 out of 10 women stop having periods after 1 year of MIRENA® use. The periods come back when MIRENA® is removed. If you do not have a period for 6 weeks during MIRENA® use, contact your health care provider. Changes in bleeding. You may have bleeding and spotting between menstrual periods, especially during the first 3 to 6 months. Sometimes the bleeding is heavier than usual at first. However, the bleeding usually becomes lighter than usual and may be irregular.
Side Effects: There are a number of uncommon, but serious side effects that can occur when using the Mirena® IUD®
Do not use MIRENA® if you:
Iud Cramps During The First Months With It
Hormonal and copper IUDs affect menstruation differently. A hormonal IUD can ease your menstrual cramps and make your periods scantier. On the contrary, a copper IUD can cause increased menstrual cramping and heavier periods. These symptoms usually improve in 36 months.
If IUD cramps continue to bother you and pain relievers dont help much, you may wish to consult your doctor. In rare cases, the symptoms can be severe enough to consider removing the IUD.
- Abnormal vaginal discharge
- Unusually heavy vaginal bleeding
If you have any of these symptoms, its best to consult with your health care provider as soon as possible.
Its also important to check the IUD strings from time to time. If you feel that theyve become shorter or if you can feel the bottom of the IUD itself, it means that the IUD is out of place and you need medical attention. If your IUD is out of place, it may not provide protection from pregnancy, so you need to use a backup method of contraception.
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How Is An Iud Inserted
The procedure starts out similar to getting a Pap smear. Youâll put your feet in stirrups. The doctor will then place a speculum in the vagina to hold the vagina open. The doctor will put the IUD in a small tube that theyâll insert into your vagina. Theyâll move the tube up through the cervix and into the uterus. Then theyâll push the IUD out of the tube and pull the tube out. Strings attached to the IUD will hang 1-2 inches into the vagina.
The procedure is uncomfortable, and you may have cramps and bleeding, but they tend to go away in a few days. Some women may also feel lightheaded from the pain.
You can have most IUDs placed at any time in your cycle. But it may be more comfortable to have one inserted while youâre having your period. This is when your cervix is most open. Find out more on what to expect with IUD insertion.
This Is What Happens To Your Uterine Lining If You Have An Iud
Getting your first period is exciting. All of sudden your body is like,Congratulations! Youre officially a woman! But then, as years go by and you realize youre stuck with monthly bleeding for like, a long time, its a lot less exciting. Many women then look to birth control as a way to mitigate the pesky side-effects like cramping, bloating, and heavy bleeding that come along with that monthly visit from Aunt Flo. IUDs are a great, effective way to make your periods better, with some users even noticing that they eliminate monthly bleeding entirely.
But with less bleeding you may also be wondering what is happening to your uterine lining. Dont worry, we asked to pros to clue us in on whats going on inside.
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Unexpected Pregnancy & Ectopic Pregnancy
Over a five-year period, about eight in 1,000 women became pregnant while using Mirena, according to Bayers Mirena Welcome Kit. This can be life threatening. It may also cause loss of fertility. Study results on ectopic pregnancy risk are mixed.
In patients becoming pregnant with an IUD in place, septic abortion with septicemia, septic shock, and deathmay occur. Source: Mirena package insert
A 2016 study in the International Journal of Womens Health found that ectopic pregnancies a life-threatening emergency that occurs when the fetus grows outside the uterus, usually in the fallopian tube were more likely for women using hormone-releasing IUDs than for those using copper IUDs.
But in a 2014 study funded by Bayer, researchers said the risk of unintended pregnancy and ectopic pregnancy was higher with copper IUDs.
The study of 61,448 women found the risk of unintended pregnancy was 84 percent lower with levonorgestrel-releasing IUDs versus copper, and the risk of ectopic pregnancy was 74 percent lower.
Symptoms of ectopic pregnancy include:
- Sharp pain in the abdomen or pelvis
What To Avoid After Getting An Iud
Please abstain from vaginal intercourse, baths, swimming, tampon use, and menstrual cup use for at least 24 hours after IUD insertion. Mirena/Liletta, Kyleena, and Skyla IUD users will need back-up contraception to prevent pregnancy in the first 7 days after placement.
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Spotting Signs Of Early Pregnancy
Taking A Pregnancy Test
If you suspect youre pregnant, consider taking an at-home pregnancy test. These tests claim to be up to 99% effective. In most cases, the tests provide accurate results, but their reliability depends on following the instructions and not testing too early after conception.
Its also recommended to discuss your concerns and symptoms with your healthcare provider to ensure the IUD is working correctly. They may also perform a pregnancy test in the office to confirm whether you are pregnant.
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How Soon After Getting An Iud Can I Have Sex
You can have sex as soon as you want after getting an IUD.
You might need to use a backup method of birth control until the IUD starts to work whether you’re protected against pregnancy right away depends on what type of IUD you get and when its put in your uterus.
Paragard , Mirena, and Liletta IUDs start working to prevent pregnancy as soon as they’re in place.
Kyleena and Skyla IUDs start working to prevent pregnancy right away IF theyre put in during the first 7 days of your period. If you get a Kyleena or Skyla IUD at any other time during your cycle, protection starts after 7 days in the meantime, use condoms or another kind of birth control to prevent pregnancy.
How To Tell If It’s Still In Place
An IUD has 2 thin threads that hang down a little way from your womb into the top of your vagina.
The GP or nurse that fits your IUD will teach you how to feel for these threads and check that it’s still in place.
Check your IUD is in place a few times in the first month and then after each period, or at regular intervals.
It’s very unlikely that your IUD will come out, but if you cannot feel the threads or think it’s moved, you may not be protected against pregnancy.
See a GP or nurse straight away and use additional contraception, such as condoms, until your IUD has been checked.
If you have had sex recently, you may need to use emergency contraception.
Your partner should not be able to feel your IUD during sex. If they can, see a GP or nurse for a check-up.
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What Happens To Your Uterine Lining When You Have An Iud
You can take a deep breath because the lining doesnt just stay there in your uterusit actually becomes thinner, explained Baltimore OB/GYN Dr. Lindsay Appel.
“The progesterone-only IUDs release a steady state of progesterone which causes the endometrium, the lining of the uterus, to become very thin,” Appel told HelloGiggles. “In some people, the lining becomes so thin that there is very little endometrial tissue to be shed each month, so periods become lighter or go away altogether. This is a normal effect of the IUD and does not harm your uterus or endometrium in any way. When the IUD is removed, your typical menstrual cycle should resume and the endometrium will thicken again.”
So, no, your uterine lining doesnt just build up for eternity inside of you, added Linda Nicoll, MD, Assistant Professor of the Department of Obstetrics and Gynecology at NYU Langone Medical Center. In the case of a hormonal IUD, the absence of menses does not represent any buildup of blood and tissue inside the body, she told HelloGiggles.
Talk To The Experts For More Infor On Period After Iud Removal
Removing your IUD is a medical procedure that needs to be performed by your doctor. All types of IUDs should be removed when their effectiveness expires. Upon removal, you no longer have protection against pregnancy, and your period will return to normal within three months. For more information about IUDs and how they work, talk to the professionals at Raleigh Gynecology and Wellness. They can answer your questions about safe and effective forms of contraception and schedule an appointment.
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I Wanted A More Reliable Form Of Birth Control
I had my Kyleena IUD placed about 10 months ago. because my birth control pills were really messing with my mood, and I wanted a more reliable form of birth control. The placement was relatively easy for me, but I did feel some pain and discomfort for about 20-24 hours after the placement. I have been very pleased with how easy it has been having an IUD. My only complaint is that I have not had regular periods since the placement. âAnonymous, female, 25 Belgium
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How Long Does Mirena Take To Work
It can take a few months for Mirena to have its full effect, but by 6 months after placement, most women will have only light bleeding and sometimes no bleeding at all. The total blood loss per cycle slowly decreases with continued use.
The number of spotting and bleeding days may increase when you first have it inserted but then these usually decrease in the months that follow. Bleeding may also be irregular.
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