April 11

Random Pelvic Pain and IUD: What’s The Connection?


Approximately 4.5 million women in the United States use intrauterine devices (IUDs) for contraception. They are very effective in preventing pregnancy, and only 1 in 100 women with an IUD becomes pregnant while using the device.

The IUD is also very safe. Some women have side effects, but they are usually mild. It is rare for a device to have a serious problem. The side effects of this contraceptive method can be different for everyone. Which one you get depends on your type of IUD and your medical history.

What is an IUD?

An IUD is a small piece of T-shaped plastic placed in the womb to prevent pregnancy. The IUD provides long-term, reliable protection against pregnancy and is reversible.

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Side effects of IUD

According to a collaborative study of about 60,000 women by university researchers, the risk of developing the pelvic inflammatory disease (PID) after inserting an intrauterine device (IUD) is that women are screened for gonorrhea and chlamydia. Very low, whether or not it has ever been. University of California, San Francisco (UCSF) and Kaiser Permanente Northern California Research Division.

The most common side effects of an IUD are pain, cramps, bleeding, and unwanted pregnancy when inserting an IUD. Other includes:

1. Pain When Inserting an IUD

A pelvic pain doctor measures the depth of the uterus before inserting the IUD. It is a procedure called uterine probing. To insert an IUD, use a speculum to open the vagina and allow the IUD to be inserted into the uterus through a cervical opening. Before inserting the IUD, medications dilate the cervix or paralyze the area.

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2. Cramps

Cramps are common after IUD insertion because the cervix needs to be opened to allow the IUD to pass through. Seizures vary widely from low back pain to severe debilitating pelvic pain. Women who have previously given birth transvaginally tend to have less pain.

3. Bleeding

Almost all women experience bleeding after an IUD is inserted. It can range from occasional spotting (blood spots or brown discharges that go up and down) to heavy bleeding. The IUD can be inserted during the menstrual cycle. Still, the best time is during the menstrual cycle because the cervix is lowered and dilated, making it easier for the doctor to insert the IUD.

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4. Unwanted Pregnancy

The IUD, if properly inserted and left in place, is more than 99% effective. Copper-added IUDs work quickly and can also be used as an emergency contraceptive if used within five days of unprotected sex. 

The IUD is only effective immediately if used within the first seven days of menstruation. Otherwise, if you have sexual intercourse within seven days of insertion, you should use a condom.

Rare Side Effects

The more rare side effects of the IUD are:

1. Evacuation

When the device slips out of the uterus by mistake, the doctor will have to reinstall the IUD if it falls out. The IUD penetrates the uterine wall, causing uterine rupture, resulting in significant bleeding and infections.

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2. Pelvic Inflammatory Disease (PID)

When microorganisms are injected into the uterus during the IUD insertion procedure, it can happen.

Are There Different Types of IUDs?

So far, the FDA has approved five different IUD brands. One of them is the Paragard copper IUD. Killina, Lilletta, Milena, and Skyra are examples of hormone IUDs. Each variety of IUDs has its own set of side effects detailed below.

1. Kyleena’s Side Effects

Kyleena is a hormonal intrauterine device. Kyleena can produce the following negative effects in addition to the usual IUD side effects:

·         inflammation of the outer part of the vagina called vulvovaginitis

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·         headaches

·         pelvic pain

·         painful periods

·         sore breasts

2. Liletta’s Side Effects

Ectopic pregnancy can also be increased by using a Liletta IUD. If a woman wearing a Liletta IUD has severe bleeding or abdominal pain, she should see a doctor because these symptoms could signal an ectopic pregnancy. Other side effects of the Liletta IUD include:

·         In the first 3–6 months, you may experience irregular bleeding and spotting.

·         Painful ovarian cysts, which can cause pain and discomfort

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3. Mirena’s Side Effects

Some of the symptoms that people often experience after Mirena’s placement include:

·         Pain

·         Bleeding

·         Dizziness

·         Although these symptoms should usually go away within about 30 minutes

·         missed or irregular periods

·         bleeding more or less than usual during a period in the first 3–6 months

4. Skyla’s Side Effects

·         Skyla may cause the following side effects: Irregular periods

·         missed menstrual periods

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·         Risk of ectopic pregnancy in case a woman gets pregnant while wearing an IUD

5. Paragard Side Effects

Paragard Hormones are not secreted by IUDs. Instead, they’re coated in copper, which works as a sperm blocker. However, they can still have negative consequences, such as:

·         metal-induced allergies

·         Low blood levels cause backache and a faint feeling.

·         During intercourse

·         menstrual-like cramping pain


If cramping is severe, lasts longer than three months, and has a foul-smelling discharge or heavy bleeding, you need to consult a gynecologist.

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1. Is it normal to have pelvic pain with IUD?

Bleeding and spotting between periods, abdominal/pelvic pain, and back pain are common Mirena IUD adverse effects. These usually go away within a few months of being implanted.

2. What does it feel like to have your IUD displaced?

If your IUD is misplaced, the most common signs and symptoms are: not being able to feel the IUD strings with your fingers. You can feel the spiral’s plastic. During intercourse, your partner can feel your IUD.

3. Can IUDs damage the uterus?

The main health risks associated with IUD use are perforation of the uterus, pregnancy (both intrauterine and ectopic), and pelvic inflammatory disease. Perforation by an IUD is a serious complication. It can occur both during and after insertion.

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