Intrauterine Contraceptive Device.

Intrauterine Contraceptive Device or IUD is a small birth control device that is placed in the uterus to prevent pregnancy. The two types of IUD are copper IUD and hormonal IUD. It is a good reversible birth control method that lasts anywhere between 5 and 10 years.

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I had unusual spotting with NuvaRing. Please advise.

Query: Hi doctor, Last month, I had an unusual spotting during the time I was using Nuvaring. That never happened before. So, I decided to take the ring off, but during that time, it was menstruation. I never had a normal flux, just spotting all the time. At first, kind of brown and after, redder and then...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to Nuvaring is Etonogestrel and Ethinylestradiol containing contraceptive. Hormones have its own side effects and appear a bit differently in every individual female. Combined contraceptives have short-term effects like abnormal bleeding, spotting, mood variations, brea...  Read Full »

After insertion of the intrauterine copper device, I am experiencing nausea and lower back pain. Should I be concerned?

Query: Hi doctor, I am a 33-year-old woman and had the paragard device about two and a half weeks ago. Yesterday afternoon I experienced nausea (although did not vomit), as well as lower back pain and cramps. I had no fever. Today the lower back pain and cramps continued, and I just took my temperature and...  Read Full »

Dr. Deepika Joshi

Answer: Hello, Welcome to Since it has been inserted two weeks ago there is a remote possibility that these symptoms are because of the paragard. It can be a totally unrelated thing but still, you need an examination. Are there any other symptoms like discharge or irregular bleeding? There ar...  Read Full »

I recently had an intrauterine device inserted and I am suffering from fever. Could this be due to an infection?

Query: Hi doctor, I had the removal and insertion of an IUD (intrauterine device) recently. However, I had a fever and knew I must speak to a doctor about that. I did not know if it was just my body getting used to the IUD or if my body detected an infection. I seem fine today. However, I am afraid I may g...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to I understand your concern. Firstly have you noticed any other reason for the fever, like flu, urine infection, or any vaginal discharge or sputum? A tampon could be a case of infection, so pay attention, and sometimes this infection is too severe. So try to avoid tampo...  Read Full »

My husband wants to put off pregnancy for a while. Can you please explain the various contraceptive methods available?

Query: Hello doctor, I am a married woman. My husband wants to avoid pregnancy for a few years. I usually take emergency contraceptive pills after unprotected sexual intercourse, but I conceived even after using that. My husband does not want to use condoms. Can you please explain the other contraceptive m...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to You can have a wide choice of contraceptives that are convenient for you. It could be pills, implants, injections, intrauterine devices, etc. (Consult your specialist doctor, talk with them, and take medications with their consent.) 1. Oral contraceptive pills cons...  Read Full »

Either Mirena or hysterectomy, which is better for irregular periods?

Query: Hi doctor, I am 29 years old. I have tilted bicornuate uterus. My history includes two cesarean sections, PCOS, adenomyosis, dysmenorrhea and amenorrhea. Now, I am suffering from irregular and very painful periods. I am getting heavy clots for three days and bleeding for the next four days. My cycle...  Read Full »

Dr. Megha Tuli

Answer: Hi, Welcome to I went through your query. At your age, instead of hysterectomy, Mirena is a better option. Misoprostol is very effective in opening the uterine cervix and most likely the procedure will be successful. Whereas hysterectomy is concerned, you can go for both laparoscopic...  Read Full »

Do we need to remove the uterus for a clot in it?

Query: Hi doctor, My mother is 45 years old. Two years before she had pain in her lower abdomen. We went to the doctor, and they said that there are many sores in the uterus, took a biopsy test and said there is nothing serious. After one year when she again had periods problem and pain in lower abdomen, t...  Read Full »

Dr. Balakrishnan. R

Answer: Hi, Welcome to I do not see any reason for you to worry and there is no need for any interference. Let me explain. Fibroid and adenomyosis, the two conditions mentioned in the report, never become malignant or cancerous (attachment removed to protect patient identity). What she has is...  Read Full »

Why am I not getting my periods 37 days post-removal of IUD?

Query: Hi doctor, I had Mirena removed before a month and had what I think was a period the next day that lasted for four days. It has been 37 days with no period and three negative home pregnancy tests. I have been nauseated with cramps that are dull while some hurt good enough to stop me from moving. Wh...  Read Full »

Dr. Megha Tuli

Answer: Hi, Welcome to Mirena is a progesterone-containing IUCD (intrauterine contraceptive device). Its sudden removal induced you periods last month. Your current delay in periods is also because of the same. It takes time for the body to restore the normal hormonal balance after removal of...  Read Full »

Can you guide me on the pros and cons of using a copper-T?

Query: Hello doctor, I would like to know whether it is safe to use an i-pill in a span of seven days? We had protected sex last week and I took an i-pill immediately after the intercourse. We again had sex yesterday. I did not use any oral contraceptives but my husband did use condoms. Just to be on the s...  Read Full »

Dr. Kamalpreet Kaur Nagpal

Answer: Hello, Welcome to You have taken double precaution with use of an i-pill and also barrier contraceptive that is a condom. Since you have taken the pill twice, this may disturb your cycle otherwise you are protected from getting pregnant most likely. It is not wise to use this pill aga...  Read Full »

Can having an IUD for more than two years be responsible for my delay in periods?

Query: Hello doctor, I was on the IUD Mirena for two and a half years and it did not suit me. So, I saw a doctor to have it removed. That was four months ago and I still have not had a menstrual cycle. I have had spotting here and there, but nothing else. My husband and I want a child, but I am not sure if...  Read Full »

Dr. Sujata Mittal

Answer: Hello, Welcome to Mirena is a hormonal IUCD (intrauterine contraceptive device) which causes a lot of side effects. Considering your age, it was not recommended for you. It has decidualized your endometrium to a great extent and it is possible your ovulation has been suppressed too. Ple...  Read Full »

Can I get pregnant on having sex and taking an I-pill just before my period date?

Query: Hello doctor, When I had sex last month, I got pregnant and took an abortion pill. This month, I had sex just before my period date and took an I-pill? Will I get my periods, or will I be pregnant? Kindly help.  Read Full »

Dr. Manwani Saloni Dilip

Answer: Hello, Welcome to Can you specify when you had an abortion and when you took an I-pill (Levonorgestrel)? Periods return six weeks after an abortion, and taking an I-pill resets the periods. So, you get them four to six weeks after you take an I-pill. I hope you found this helpful. K...  Read Full »

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