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What causes abdominal pain and heavy bleeding with Filshie clips?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am having abdominal pain with very heavy menstrual bleeding. I had filshie clips implanted a few years back. I can feel one with my fingers.

Please help.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

I am sorry you are going through this. Since you had Filshie clips implanted and are now experiencing severe abdominal pain and heavy periods, a few possibilities should be considered:

Possible causes:

  • Filshie clip migration or complications – if you can feel a clip, it might have moved from its original position, which can cause pain and irritation.

  • Endometriosis or adenomyosis – if your periods have gotten heavier and more painful over time, these conditions could be contributing factors.

  • Uterine fibroids or polyps – these can cause heavy bleeding and pain.

  • Pregnancy complication (ectopic pregnancy) – even with tubal ligation, pregnancy is rare but possible, and ectopic pregnancy is a risk.

  • Pelvic infection (PID) – if accompanied by fever, unusual discharge, or persistent pain, an infection should be ruled out.

What you should do next:

See a doctor or gynecologist as soon as possible – since you are experiencing severe pain and heavy bleeding, they may do:

  • Ultrasound – To check for clip migration, fibroids, or other issues.

  • Pelvic exam – To see if the clip has shifted or is causing irritation.

  • Pregnancy test and blood work – To rule out ectopic pregnancy or other concerns.

Pain management – until you see a doctor:

  • Ibuprofen (if safe for you) – reduces pain and bleeding.

  • Warm compress on the abdomen – helps relieve cramps.

Monitor symptoms – If you have severe pain, dizziness, fever, or excessive bleeding (soaking pads quickly), seek emergency care.

Since you can feel a clip, it is important to get checked soon.

Would you like guidance on managing symptoms while waiting for an appointment?

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 9, 2025
Reviewed At May 9, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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