Have heavy bleeding after slimline copper IUD fitted. Normal or remove?
Patient: Hi, I had a TT380 Slimline copper iud fitted three weeks ago and have been bleeding quite heavily ever since. Is this normal? Will it ever stop? I am 37, height 5ft 5in, weight 10st 3pounds (not normal weight had first baby almost 5mths ago I am in the process of losing weight). I am in no pain just bleeding lots and not passing any clots. Any advice? Is it not suitable for me? Should I have it removed? Also due to have period next week. Doctor: Dear helbridle, The intrauterine device is by far the most suitable method for your age. Excessive bleeding is a side effect, but there is medical treatment. First of all you should exclude organic causes, the most important of which is displacement. This could be ruled out by a pelvic ultrasound, preferably transvaginal. If the IUD is in place, you may start medical treatment and there are many options, some of which are the following: - mefenamic acid 500 mg tid for 5 days and resume with the beginning of menses. - ibuprofen 600 mg once daily throughout menses. - tranexamic acid 1 gm qid for 5 days and resume with menses. Another option is to change this type by the progesterone medicated type. I hope these words were usefull and wish you the best of luck. Dr. Ahmed Bahaa.