Should I remove the IUD if bleeding lasts more than 55 days?

Question

Hello doctor,

I had a hormonal IUD inserted almost two months ago, and since then, the bleeding has never properly stopped. Some days it is just spotting, while other days it is heavier, like a period again, and honestly, I am exhausted from wearing pads constantly.

Should a 36-year-old who is still bleeding after 55 days with an IUD ask for it to be removed? My gynecologist warned me that irregular bleeding can happen initially, but I did not expect it to continue this long.

I also get cramps on and off, although an ultrasound confirmed that the device is in the correct position.

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and am sorry that you are experiencing such discomfort.

Irregular bleeding during the first few months after insertion of a hormonal IUD (intrauterine device) is very common, although it can certainly be frustrating and exhausting.

At around 55 days, spotting and intermittent heavier bleeding can still be part of the normal adjustment phase, especially since your ultrasound has confirmed that the IUD is in the correct position. Many women also experience occasional cramps during the first few months after insertion.

In many cases, the bleeding gradually improves over three to six months, and periods often become much lighter over time. Your IUD does not automatically need to be removed simply because bleeding is still occurring at two months.

However, you should contact your gynecologist sooner if you develop very heavy bleeding (such as soaking pads quickly), severe pelvic pain, fever, dizziness, or worsening symptoms. Sometimes, doctors may recommend temporary treatments, such as anti-inflammatory medications or hormonal support, to help the bleeding settle.

That said, your quality of life is important. If the bleeding and cramping are making you feel miserable or exhausted, it is completely reasonable to discuss with your gynecologist whether continuing to wait is the best option for you.

The reassuring part is that many people who struggle through the first couple of months eventually experience much lighter periods and are happy they kept the IUD. However, not everyone chooses to continue if the adjustment period feels too difficult.

Take care.

Please revert in case of further queries.

Thank you.