How to manage irregular periods in a patient who has had a copper coil for many years?

Hello,

Welcome to icliniq.com.

Thank you for your query.

1. It is better to avoid a single contraceptive for years and try to change if you feel that you are getting side effects more than benefits.
2. There are other choices of contraceptives like implants, IUCD (intrauterine contraceptive device) Mirena, oral contraceptive pills, mini pills, etc.
3. You might have unscheduled bleeding or spotting as side effects of long-term use of similar contraceptives as well.
4. Have a cervical smear as well as to check for any cervical pathology complete blood count and thyroid function tests are also needed.
5. It is better to have a local hysteroscopic examination by a gynecologist to exclude any other causes of irregular bleeding.
6. Try to replace the copper IUD with other contraceptives that are convenient for you.
7. Have tablet Norethisterone 10 mg twice daily from day four to day 24 for three months to have regular cycles.
8. Start iron supplements immediately and have food rich in iron like apples, carrots, etc.
9. Follow the results of investigations as I advised above and discuss them here or with a local gynecologist.
10. Have complete treatment of any health issue you have.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you.

Thank you.