6) Is This Bleeding Normal? What to Expect With Your Bleeding After an IUD Insertion

IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for 8 YEARS use for contraception. When treatment of heavy menstrual bleeding is the primary indication, best results are usually seen in the first 5 years. Kyleena (19.5mg) is still 5 years. See video #35 for info on copper IUD extended use.
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Dr. Kristina Dervaitis, an OB/Gyn in Newmarket, Ontario, answers your IUC questions: Is this bleeding normal? What bleeding should I expect after an IUD insertion? What will my periods be like with an IUD? What’s the difference between a copper and a levonorgestrel (hormonal) IUD in terms of bleeding?
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western University.

[@Ameliaaato]

Thank you so much for this video. My gynaecologist wasn’t very informative about what to expect and this definitely made me more comfortable

[@ShantaMishu]

Same here. I Don't know why doctors are not so informative

[@faysalgillani4333]

Thank you so much about this informative video It's helps a lot GoD BLESS YOU

[@dr.kristinadervaitis789]

You are very welcome! So glad it was helpful! -Dr. Dervaitis

[@owamijorge8001]

A sigh of relief 😭 I got mine a week ago and I've been searching for answers online every single day. This was really helpful

[@tyolahughes2279]

Thank you for the wealth of information about IUD's ...I had my procedure done Monday. You are helping me to understand step by step what to expect which helps me not to worry or be alarmed.

[@betancoeur]

Thank you so much for making this! Ive been irregularly bleeding for over a month since I got my IUD and I was terrified something was wrong... my doctor closed during this second wave so I had no way of going for a consult. You have given me such peace of mind- very informative! Hope you’re staying safe 💞

[@dr.kristinadervaitis789]

Glad to hear you found the video helpful! Hope you’re staying safe as well. All the best, Dr. Dervaitis

[@quantumsoulsjourney888]

You have a gift of giving good advice in a calm way. Subscribed

[@nathalia5866]

thank you for this video, you gave me more information over a video than my doctor in person

[@ssharp6341]

We need more Canadian doctors making channels like this. More information on menstruation, miscarriage, abortion, birth control. To reach our youth and to provide a private access to this information that science base.

[@borderlinepup1603]

I am getting mine done on Monday and your videos have been a huuge stress relief for me and my mind! 💝

[@dr.kristinadervaitis789]

So glad you found the videos helpful! Thanks for watching! -Dr. Dervaitis

[@kimbsguerra]

Thank you so much for this explanation!

[@sdpeesch]

I want to thank you for making these videos, Doctor. I got my kyleena yesterday and I watched a ton of your videos beforehand and it made me feel a lot better. I remembered your insertion video and how it took you about 15 seconds, luckily my gyno was just as quick! It hurt like hell but it’s over now. Thank you for what you do!

[@dr.kristinadervaitis789]

I’m so glad to hear that you found the videos helpful, thank you so much for taking the time to reach out with your comment! All the best, Dr. Dervaitis

[@MomsFavoriteSpawn]

How do you like Kyleena?

[@hadimajzoub]

Thank u, i’m half way through this video and answered all my questions

[@sydneyostberg543]

Thank you for putting up this video! I got mine 2 weeks ago and was starting to get worried lol

[@pop9340]

I had my first gynecologist appointment today and was suggested and iud without even having spoken for 2 minutes(another dr i feel didnt care). I dont know what came over me but i said yes and had it done today. I was explained pretty much nothing before nor after. I am so grateful I found this channel.

[@dr.kristinadervaitis789]

Glad you’ve found the videos helpful!

[@ncedanikhanyisile5105]

Thank you Kristina, this has been very helpful indeed

[@ladybrokenrope8463]

Thank you for this! I have a good gynecologist but he will also only ask “Do you have any questions” and sometimes I don’t know what questions to ask until I’m going through the changes well after my appointment

[@dr.kristinadervaitis789]

Glad you found the video helpful! Thanks for watching! -Dr. Dervaitis

[@shania2064]

Thank you for your informative videos! Really helpful for me since I just got my IUD last week.

[@sahilazuber]

Thanks Dr . Well explained, I appreciate your help.

[@jayawai]

I am so glad I found this video. I had my copper iud put in on Monday and I am a bit worried that I did not get much information so far the cramping comes and goes and the bleeding has stopped for now I was just scared from the reviews and videos I’ve seen online

[@NaimaC2]

Very helpful video ❤

[@didiejeay]

Thanks for the video Dr. I'm glad i found this video

[@dr.kristinadervaitis789]

You’re welcome! Glad you found it helpful! -Dr. Dervaitis

[@jessijacobs8]

Great video and info!! Just got mine fitted two weeks ago so this info is so helpful! 🙌

[@dr.kristinadervaitis789]

Lene- So glad you found the video helpful! :) Dr. Dervaitis

[@ladyturantulo]

I am soooo annoyed with the spotting. Go exercise- spotting, stand up- spotting, thinking about a man- SPOTTING.

[@user-en2ou5iq5e]

This was so helpful thank you

[@anegcan]

Thank you so much for your videos! They are very helpful and thorough. Also you just seem like a very kind doctor! Much appreciated!!

[@dr.kristinadervaitis789]

Thanks for watching! So glad you found the videos helpful! All the best, -Dr. Dervaitis

[@vimbaimupesa4670]

@@dr.kristinadervaitis789 how about a bit of bleeding after sex, l put it on the 29th of December 2020

[@dr.kristinadervaitis789]

This channel is not intended to provide personalized medical advice. If you are concerned about your bleeding, see your doctor. Please refer back to video 7 (I do discuss the issue of bleeding after intercourse as I recall...) -Dr. Dervaitis

[@mommypower9862]

This was so helpful!!!!! Thank you 🙏

[@nakanjakoaminah6744]

Its use ful.inserted mine in nov but since feb am in period did scan but all things turned to be normal, was given injection, monthly capsule, and other tablets but no change

[@celineclark7825]

SO INFORMATIVE. THANK YOU.

[@annable883]

Hello Dr Kristina Dervaitis, I am a man from Manchester in the UK. I wanted to watch your video to learn more about the IUD and it affects upon women's health & their cycles. Quite recently a TV program was on British TV. Your video was very interesting, very informative and extremely enlightening. Thank you for your great video.😀

[@dr.kristinadervaitis789]

Glad you found the video to be informative! I think it’s great when men support their partners by being fully informed about contraception options. -Dr. Dervaitis

[@lilsweety2013]

Thank you. I was given absolutely no post op instructions

[@dr.kristinadervaitis789]

Hi Mgallowa- Based on what you’ve told me, I suspect that you’re one of the 30% who will not have a period (or maybe only occasional/ sporadic light bleeding) with a levonorgestrel IUD. That said, I often will tell patients that the first time they miss their period, it doesn’t hurt to do an at home pregnancy test for further reassurance (and especially if there were any concurrent signs of pregnancy like morning sickness/ nausea or breast tenderness...) But thereafter, it’s not necessary to do this sort of test every month (if you continue to NOT have a period). The chance of pregnancy with an IUD is very rare (2/1000 with a LNG IUD). Definitely you should attend your scheduled follow up appointment with your doctor. -Dr. Dervaitis

[@skateata1]

Got my paragard today. I'm so glad you have these videos. I keep having irrational thoughts.

[@dr.kristinadervaitis789]

Glad you are finding the videos helpful Kelsea! 😊👍-Dr. Dervaitis

[@reme3111]

Hey! I am supposed to get the paragard tomorrow but I have a vacation in 3 weeks that I don’t want to ruin with bleeding and cramping! How was your experience? And do you suggest (like my husband) to move to the next period ?

[@nena.4207]

Thank you so much you helped me understand what's going on with me 💕.

[@Greyfeather08]

Thank you so much for this series! Helps alot!!!

[@MyTwoCents0210]

Very helpful!! I had mine inserted about 5 months ago and had questions about the continued bleeding. Thanks!

[@julianagil6598]

I got mine 4 days ago and it hasn’t subsided. When did it stop for you?

[@sreelatha2329]

Are you ok now.? I had inserted merina iud 3 months before and still I have continuous bleeding and spotting . I am very much depressed now

[@maricavanheerden5593]

I've had a Mirena for a year now. At first when i got it, i bled for almost 4 weeks straight, at my check-up my dr didn't express much concern over the bleeding or cramping that I was having. Then for the next 9 months i struggled with bloody discharge for 3 weeks and then one week normal discharge. I was then prescribed Mireille and a clot forming medication to clear that up. I was prescribed the Mireille for 3 cycles and the bloody discharge was only for about a week and a half. But when i went off of the Mireille, within the same month i got a heavy period with heavy cramping. It almost feels worse having the Mirena.

[@ClaraDao]

Hi Dr. D, Love your video! Thank you so much for spreading awareness and knowledge on this topic! ❤️ I just have a question: i have a copper IUD insertion in April 2017. Everything is good except for the fact that I have constant spotting (bleeding in between periods) ALL THE TIME. It’s been more than 2 years but it doesn’t seem to stop. I’m really bothered by this, and I don’t know if this is the message that my body’s trying to tell me that it doesn’t like the IUD and want it to be removed. I bleed so often, like 20 days out of 30 days in a month. Is there something wrong? Should I be worried? Should I remove my IUD? I’m 20 and I’ve never been pregnant. I think I have the Mona Lisa mini that’s supposed to last for 5 years. I also locate in Ontario. Please help me with this! Thank you so so much! I really appreciate it! 🙏🏻❤️ Clara.

[@dr.kristinadervaitis789]

Hi Clara- Sorry to hear about this spotting, you must be very frustrated! While it’s less common for spotting like this to persist past the first few months, it does sometimes happen. Based on the timeframe you describe, I don’t think that there’s anything to be worried about. However, since the spotting is bothering you, I might suggest that you try switching to a Mirena (or even Kyleena) IUD. Although spotting like this is still possible with the hormonal IUD, the overall bleeding tends to be less (due to the levonorgestrel thinning out the lining of the uterus) and you might have better luck. This spotting is NOT necessarily an indication that you can’t continue to use an IUD. Hope this helps! -Dr. Dervaitis

[@langatflorence6234]

What was the answer for this? Because it's happening here too

[@lovelyafro813]

​@@dr.kristinadervaitis789 HI I am somebody with Lupus n liver cirrhosis, low platelets below 5. I've had period for month and a half. I regret getting this especially I'm also anemic

[@dr.kristinadervaitis789]

@@lovelyafro813 Sorry to hear this. You have a complicated medical history and this channel is not intended to provide personalized medical advice. Talk to your doctor.

[@ashleybatey9530]

Very helpful!!

[@shriyahchary5242]

Thank you mam.... excellant detailed and simple explanation ... the panic is not there at all.... now I am.happy for I am.sure bleeding is common after Mirena insertion

[@mwendwamuthui5950]

Very very helpful. ❤

[@HealthylivingwithKanikaA]

Thank you for doing this video. My own GYN did not go into depth about post bleeding with my Mirena. I was really worried about this bleeding that I have been having for almost 3 and 1/2 weeks now.

[@lemnatins1434]

Did the bleeding stopped? I am going on my 4th week of spotting

[@HealthylivingwithKanikaA]

@@lemnatins1434 No it never really ended. In fact it seems that at times it’s really heavy. I’m getting it removed next week because to me it’s too much. I can’t hang with loosing all this blood.

[@ysljessica]

This is my Day 7 with my Mirena on, day 2-4 were juz fine no cramps and no much spotting, On day 5-7, I having my heavy bleeding, I just called the dr , he said iud takes time to adjust approximately mths to adjust :(

[@lisyshaju9660]

Thank you very much Doctor for the detailed information. May God bless you and family 🙏❣️

[@dr.kristinadervaitis789]

So glad you found it helpful!

[@evamua656]

Thank you so much im getting the IUD tomorrow im so nervous i hope my bleeding and blood clots go away soon

[@SalmaAkter-pf3hq]

Thank you so much @Dr.Christina Derviatis for your information… I was worried about the situation after got the IUD Now I feel better after watching your video.

[@dr.kristinadervaitis789]

Glad it was helpful!

[@brantleygoss]

Thank you for this. I got Skyla a week ago, but have been experiencing horrible cramps. I typically don’t have cramps at all.

[@andreasofiaortizlizarraga6785]

This video was amazing. You were so clear and informative. Also you have a very nice soothing voice! Thank you very much, Dr! I've had an IUD (Kyleena) for a little over 6 months now and I’ve experienced bleeding and spotting nonstop, but it’s finally starting to go away, other than that I’m feeling fine (just very ocasional cramping). Bleeding is super annoying, but patience is the key! I also feel super safe (I don’t worry about getting pregnant anymore) and happy that I no longer have to remember to take the pill. PD: The first few weeks I did feel really nauseous.

[@dr.kristinadervaitis789]

So glad you found the video helpful! All the best, Dr. Dervaitis

[@rosariopodesta9968]

Thank you for this video!! Its what i needed. Just on point

[@dr.kristinadervaitis789]

Glad it was helpful!

[@TheNOT4REAL]

Thank you! This answers my questions.

[@zairaojeda500]

I was a little bit worried about my bleeding after the IUD, because my gynecologist didn’t say so much about it, but your video helped me so much, I feel much calmed, I suppose I have to be patient and wait for it to stops. Thank you so much :)

[@vimbaimupesa4670]

How long did you bleed, l put it about 2weeks back

[@zairaojeda500]

@@vimbaimupesa4670 I was bleeding around three weeks, I have to say that my bleeding was brown and it wasn’t soon much with a daily liner was fine, I stopped completely bleeding at the four week

[@cheaminks]

Thank you!

[@Jasmijnnieuwkoop]

this is very helpfull, thank you!

[@dr.kristinadervaitis789]

Hi Kaylyn- When you have an “IUD change/ replacement” (immediate new IUD insertion after old one is removed) you are immediately protected from pregnancy as long as the old IUD is not overdue for removal (not expired). However, because of the small risk of expulsion after a new IUD insert (ie, risk of the IUD falling out), to be cautious, I ask my patients to use back up contraception until they see me for their one month follow up visit when I check that the IUD has remained in good position. Thanks for your question, hope this helps! -Dr. Dervaitis

[@dr.kristinadervaitis789]

Hi Anna- Measurement of cortisol levels is NOT standard of care practice after IUD insertion. Cushing’s disease is NOT a contraindication to hormonal or copper IUD use. -Dr. Dervaitis

[@dpaper7962]

Very informative. I am nervous because I am a week late on my period and I have no clue is it because of pregnancy or this new IUD. My old IUD was 1 month expired before I've gotten an appointment to change it. So I am very confused. I've gotten one positive pregnancy test on a blue dye test, which we all know gives out false positives. So VERY confusing

[@dpaper7962]

And I believe it gave me a false positive like many others because no other test have been positive. However still no period 🤦

[@dr.kristinadervaitis789]

There is a

[@dpaper7962]

@@dr.kristinadervaitis789 Will do, thanks Dr. Dervaitis!

[@dr.kristinadervaitis789]

Hi Sonya- Sometimes bleeding can return after having been without menses (“amenorrhea”) on a levonorgestrel IUD. It’s difficult to predict what the pattern of bleeding would be, moving forward. Any time there’s a significant change in bleeding, I recommend that the patient have a follow up appointment with their doctor, in order to check that the IUD is still in proper position, and to rule out any other causes for the bleeding. All the best, Dr. Dervaitis

[@dr.kristinadervaitis789]

Hi Raven- Unfortunately I can’t really answer your question given the information provided. Most IUD’s are to be used for 5 years and not 7 (but I’m not sure exactly which IUD you have, and in some situations the duration of use depends on patient age at time of insertion...) So my answer would be: “see your doctor to get things checked out”. -Dr. Dervaitis

[@gu3rixx772]

Thank you for this video 🙏 I just had my IUD placed March 23rd (Mirena) and have been bleeding ever since. I was worried until now. Glad to know that I'm not alone!

[@gnanakilambhi1357]

I had my IUD inserted on Feb 17th it's been more than 4 months spotting didn't stop and I have removed it today with help of doctor. I feel relaxed now

[@TurksChaos]

Super helpful as I’m experiencing bleeding since it was placed 2 weeks ago. I do notice it picks up when I exercise, sex, breastfeed, etc

[@laperuka330]

Thanks. I got mine 3 weeks ago and have bled non-stop. Even though it is light. I hope it’s fine.

[@allierobertson4437]

I got my iud about a month and a half ago and it’s still bleeding, cramps. But I’m grateful for having it because my birth control pills I was on gave my extreme hyper tension

[@alexislove1995]

hi, has this gotten better? looking for a light at the end of the tunnel. i feel like i’m about to bleed to death over here lmfao

[@nunya6165]

How long did your bleeding last

[@nunya6165]

@@alexislove1995 hey how long did your bleeding last

[@alexislove1995]

@@nunya6165 About a month and then it went away thank god. However, I have had two periods this month lol. But I can see that it’s normalizing!!

[@Uorganicskenya]

Cramps 😭😭😭 I am having bad cramps especially in the afternoon.

[@dawnnc27]

Thank you for giving me some peace of mind. I just got the mirena IUD for heavy bleeding. Having some light to medium flow bleeding and cramps. Hoping it goes away soon!

[@velisermjarley3650]

Thank you ❤, you answered a lot of my questions. I inserted mine 3 weeks ago

[@dr.kristinadervaitis789]

Glad you found the video helpful!

[@jodib111]

Thank you for this video.

[@reni5486]

Thank you so much! This was so helpful

[@faizahmedmd]

Thank you you answered all my questions.

[@zalakii]

i had paraguard inserted nearly two weeks ago and havent had a day without at least light bleeding (it’s extremely light but nothing too bad) but sometimes it goes medium light for like an hour and that’s it

[@sheririch1734]

Great video!

[@awhinatewake5480]

So informative and helpful. Have jus had Mirena recently inserted and my gynecologist wasn't very informative mind u she ws just filling In for my usual gynecologist .

[@katiemurphy1085]

thanks so much for this video! it was very informative. so it sounds like spotting or "in-between" bleeding is more rare?

[@alanisflores9902]

I just got the Kyleena in the beginning of October and I am still currently bleeding I worried that maybe my body isn’t taking it very good but watching this has been very helpful ..

[@dr.kristinadervaitis789]

Glad you found the video helpful! Bleeding during the”adjustment phase” (first 4-6 weeks after insertion) is not generally reflective of future bleeding patterns (or whether there will be need to discontinue the IUD). -Dr. Dervaitis

[@teresagriffith5589]

Hi I have. Liletta iud. Couple weeks ago. And my period is so painful. I have terrible. Cramps. And I have very painful hips and pelvic. As well is that. Normal ?

[@crazy4kawaii546]

I just had my iud (Mirena) placed in two weeks ago. I’m still lightly bleeding. Thank you for letting me know this is normal. I forgot to ask my doc about it. I had the copper one years ago. I have PCOS. My husband had a vasectomy done so I don’t need it for bc just to he,p with the PCOS.

[@dr.kristinadervaitis789]

crazy4kawaii!! Glad you found my video helpful! :)Dr. D

[@sirahedqvist5981]

Thanks so much I have it removed today an I have no problem or pain

[@dr.kristinadervaitis789]

Hi Sara- Glad to hear things are OK. I’d recommend that you check out my video #5) “Comparing Contraceptive Failure Rates” if you are exploring contraceptive options other than IUC (and remember, the chance of pregnancy with condoms alone is 18%, so make sure you consider all the options!) -Dr. D

[@marisabroffman2827]

I had my Mirena IUD inserted over a year ago and still get horrible cramps... often.

[@aliciaballeza9592]

Very helpful. I’ve been having a range of blood colors and consistency. More cramping than normal. It’s not my first IUD but it is different.

[@alenapri2807]

Thx a lot for the explanation!

[@eunicekanyi575]

This has been super helpful.

[@dr.kristinadervaitis789]

Glad it was helpful!

[@magaliancelot7384]

Hi Dr Kervaitis, First thanks for your channel it is so informative. I've got an appointment soon and it is exactly what I needed. I've seen divergent opinion on using a menstrual cups with an IUD. What is your opinion on it?

[@dr.kristinadervaitis789]

Hello- It is definitely possible (and safe) to use a menstrual cup with an IUD. (If you search this topic on Instagram there are a lot of helpful posts with illustrations and tips. The patient just needs to be cautious when manipulating the cup so as not to inadvertently pull on the IUD strings (usually if the cup is placed low enough in the vagina it’s not a problem). Thanks for watching! -Dr. Dervaitis

[@L1ttlef0ot]

Thanks I wanted to see someone ask this since I love cups but am getting my first Mirena inserted next week and my doctor said ‘we don’t have enough evidence to prove if the cup with IUD is a good or bad idea so be careful with removal’

[@marilynng2877]

I got my copper IUD inserted on May of last year, so a year and 3 months ago. But the bleeding between periods hasn’t stopped. I’ve never had that problem before the IUD. And I’ve been hesitant to go to the obgyn because of COVID. But I’m just so tired of this, I’ll be making an appointment on Monday for sure! Thank you for the informative video👍🏼

[@dr.kristinadervaitis789]

Sorry to hear this. Glad that you found the videos helpful. If you’re not happy with your IUD experience, it’s definitely a good idea to see your doctor (an IUD can be removed at any time). All the best, Dr. Dervaitis -Dr. Dervaitis

[@marilynng2877]

Dr. Kristina Dervaitis thank you! I just found your channel, I was looking for information on this topic and I found your video. Thank you for your work, I really appreciate that a professional is educating us about obstetrics and gynecology stuff, which is very important to understand and to learn about❤️

[@dr.kristinadervaitis789]

Hi Abrilia- Keep in mind that not every patient has heavier or more painful cycles with a copper IUD, so I would just see how things go. If you’re not happy with how your periods are with the copper IUD, you could later switch to a lower dose levonorgestrel IUD (you might not find as much acne as you had with the transdermal implant). Regardless, you will be protecting yourself from unplanned pregnancy using one of the most effective options available! Hope this helps! -Dr. Dervaitis

[@abrilia1595]

Yes it does help! I'll for sure search for that option in my country in case this IUD cause any trouble. I am still bleeding, today got heavier but taking Ibuprofen calms down the cramps. Thank you again for your thoughts!

[@SashaMahlawe]

Hi there. Is it possible to have a missed period on the copper IUD even though you have abstained from sex ?

[@dr.kristinadervaitis789]

Some women have irregular or skipped cycles for various other reasons (other conditions or situations that interfere with ovulation). I’d recommend that you see your doctor for further evaluation if you are concerned. If there is any chance you might be pregnant (if you’ve been sexually active since your last normal period), do a pregnancy test. -Dr. Dervaitis

[@PeachesDreemurr]

I got mirena, and I had one day of pretty heavy bleeding at first, then it lightened. Now it's very light, and easily ignored. I have light cramps, but nothing as bad as it used to be before the iud. I'm quite happy with mine. I had a period a month straight before getting it.

[@dr.kristinadervaitis789]

Thank you for sharing your experience with the viewers of this channel!😊 -Dr. Dervaitis

[@angelcitygirl]

I hope that's me too soon. ❤

[@sonyajuarez4039]

Hi Dr, This is my second Mirena IUD insertion. I had no menstrual period at all with my first IUD. I have had my second IUD for 2 years and I recently started bleeding consistently throughout the last 2 months. Some days it will stop and then come back. Should I be worried? You’re feedback is greatly appreciated. Thank you! Best, Sonya

[@aaeeshahendricks6359]

I currently have an Implanon rod in my arm as contraception, but I feel like it's affecting my mood and anxiety negatively... anyone else experience this? I've used the ParaGard before too but it was expelled from my body twice because the nurse didn't tell me that as a heavy bleeder, using a copper IUD isn't a good idea. I'm thinking of trying the Kyleena due to its lower hormone release. Anyone with anxiety disorder using the Kyleena??

[@leahcabique895]

I've just got my mirena iud last Saturday Feb 13, due to my uterine bleeding and heavy menstrual period and to much cramping

[@dr.kristinadervaitis789]

Hello Tri- Bleeding after an IUD insertion is not usually “heavy”. If you are having heavy bleeding and pain, you should see your doctor. -Dr. Dervaitis

[@neginjoseph423]

What side effects can i get if i switch from using depo(7 months) to a hormonal IDU

[@dr.kristinadervaitis789]

Hello negin Joseph- The amount of progesterone in your bloodstream with depo is far greater than what enters the bloodstream with a levonorgestrel (hormonal) IUD. If you were experiencing any progesterone related side effects on depo, they may decrease or no longer be present. If your cycles were very light (or if you had no cycle) with depo, there is a chance that you may have the same menstrual side effects with the hormonal IUD (although some women with no cycle on depo might go back to having a light cycle with Mirena or Kyleena). -Dr. Dervaitis

[@allyson9274]

Hello great video! New Subscriber! I noticed that my coppe IUD (mona Lisa mini) has actually made my periods a lot LESS heavy which is so strange considering every where I read says it will make your period heavier. Have you seen this before?

[@dr.kristinadervaitis789]

Hello- Not every patient experiences heavier bleeding with a copper IUD, each patient is unique! -Dr. Dervaitis

[@lillie2549]

mine does not smell at all but it is dark now and it’s very light but it is still here, and I’ve been bleeding since I got it I’m on week three and this video helped a lot but my cramping did get worse as well.. I got the Kaylena

[@koukif8574]

Hello doctor Thank you for your explication that’s true that the marina iud could help a woman who has lot of fibroid in her uterus?

[@dingarivijaykumar4108]

Thank you so much madam.

[@camillenadeau2741]

I'm on my first month with my Kyllena, I didn't experience any spotting and had my period when it was due, although i noticed some difference. Is it normal t have perfectly normal period? As it was before the insertion?

[@dr.kristinadervaitis789]

Hi Camille- Although there is often an adjustment phase of unpredictable bleeding, it doesn’t necessarily happen to everyone . Also, it can take several months before a patient may experience less menstrual bleeding (and a minority of patients may never see a change in their bleeding). So having no bleeding and then a normal period isn’t necessarily cause for concern- but as always, I recommend that you attend your routine post-insertion follow up appointment with your doctor (always a good idea to have at least one check afterwards to ensure the IUD is in proper position). -Dr. Dervaitis

[@katarinastankovic1526]

excellent video! i'm so glad i found your channel, it's very informative. a question: my periods are usually painful, that type of pain like when i got the kyleena inserted, so if i feel cramping while im not on my period, should i be worried?

[@dr.kristinadervaitis789]

Glad you found the videos helpful. This channel is not intended to provide personalized medical advice. Talk to your doctor.

[@pallavisalunke7730]

Hello Dr I need ur help.. I HV inserted Cu T b4 6months ago.. I had passed my periods 10days ago but again heavy bleeding is occurs what should I do for this?

[@dr.kristinadervaitis789]

Hi Pallavi- Some unpredictable or “breakthrough” bleeding can happen with an IUD (especially in the first few months) but usually it isn’t heavy. If you continue to have heavy bleeding in between your periods, I’d recommend that you go and see your doctor. -Dr. Dervaitis

[@dr.kristinadervaitis789]

Hi kat x- In the first 4-6 weeks, it can sometimes be difficult to distinguish period bleeding from “adjustment phase” bleeding. I would refer you back to the video for more commentary about what to expect. Ultimately, if you are concerned about your bleeding, I would recommend that you see your doctor for a check up. All the best, Dr. Dervaitis

[@kikikiki3216]

Hi Dr. I had an IUD inserted in April. I already had a large fibroid removed in June. My period became light but this month it's so heavy with clots. Is that normal?

[@dr.kristinadervaitis789]

This channel is not intended to provide personalized medical advice. Talk to your doctor.

[@flod4369]

hello dr had the 5 year copper Iud the other day. was told to keep going with my progesterone only pill for awhile which I have never had a period on. about 3 days after insertion which was very painful I had heavy period like bleeding but I have not had a proper period for about 3 years... is this normal? given I am still on the pill?

[@dr.kristinadervaitis789]

Hi Flo- This is a unique situation, so it’s difficult to say what’s “normal”. The heavier period like bleeding may be due to the “adjustment phase” after the IUD insertion, and so you may still have some bleeding (despite continuing on the progesterone only pill). However, if the heavy bleeding persists, I would recommend that you see your doctor. -Dr. Dervaitis

[@Taurusmoon75]

Glad I found your channel and hopefully you can give me some info in regards to my situation. I had the Paraguard inserted in 2008 and went to have it removed in 2014. The midwife that did the removal failed to inform that it broke. My life has been changed physically by this. The broken piece has been embedded in my uterus for 4 years making it a total of 14 years. I’m currently working on trying to have it removed, but I keep getting passed around to different gynecologist. Can you shed some light on any possible long term effects this may cause me in the future? Thanks in advance

[@dr.kristinadervaitis789]

A small portion of the copper IUD is not likely to cause any health problems (although could interfere with conceiving if one is trying to get pregnant…) There have been many cases of patients forgetting about their IUD and the IUD staying in place for years past their suggested duration (sometimes decades) without major consequence. Generally it is still recommended to try to remove the IUD (or portion of IUD). -Dr. Dervaitis

[@Taurusmoon75]

@@dr.kristinadervaitis789 Thank you

[@melovemakeup]

I’ve had a Mirena for 3 years and it did help to stop the heaviness/pain of my periods. However, this year I’ve started to have more regular and heavier periods again. Is it possible the hormone that lessen/stops them, stops working so well after a few years?

[@dr.kristinadervaitis789]

Hello- Hormonal IUD’s release hormones throughout their lifespan (in the case of Mirena 5 years). It is a consistent daily dose that does not diminish during the recommended duration of use. Sometimes periods can change over time. But for any of my patients using the hormonal IUD, I advise that if they suddenly go from much lighter to heavier periods, they should come in to have the IUD checked (to make sure it’s in proper position). (Bottom line, I can’t provide personalized medical advice over the internet, so I think it would be best for you to see your doctor for a check up.) -Dr. Dervaitis

[@whitec1981]

First Mirena period for me last week added more days and heavy blood loss. My RBC is low beginning to think my dr is crazy. Wish we had dr like you in Northern ON. Thanks for all your videos. Because of your videos June 2 I had my iud placed the next day. Insertion was exactly as you said. Thank you doctor. I sure hope things improve. I’m ready for a referral to you 😂😂🙂💕 stay safe down there.

[@dr.kristinadervaitis789]

Hello in Northern Ontario! Glad you found the videos helpful. If you watch video #20, I explain that it might take a few months to see an improvement in your period, so it requires a bit of patience. Good luck and best wishes, -Dr. Dervaitis

[@whitec1981]

Dr. Kristina Dervaitis thanks for responding. I watched both those videos in their entirety you mentioned. Thanks again. 🙂

[@breannnajennings4371]

I have had my copper IUD going on 2 years and I’m starting to get very concerned. I have irregular bleeding that is heavy. I’m getting my period twice a month now. My doctors are no help; every doctor thus far is unsure what’s going on. I’m not sure what to do. But I’m going to just get it removed.

[@dusk2dawnprivatechefcatering]

Ive had mine since July and ive been off 7-10 days and in the majority of the month. Ive been trying to be patient but I didnt get it to have more bleeding so im hoping it gets better

[@laibashahab5689]

Hello 🤗 mam i am your new subscriber here i never seen as much friendly doc in my life ❤ .A kind and humble ☺️ person which I ever seen in my life thank you so much mam ...

[@dr.kristinadervaitis789]

Welcome to the channel! You are most welcome, thank you for your very kind words! -Dr. Dervaitis

[@kenyanbella1518]

I have been light bleeding or spotting continuously since I got my hormonal iud that I got since they spotted fibroids. Is it normal to bleed that long. It come with some cramps and back aches

[@dr.kristinadervaitis789]

Some patients might experience light bleeding or spotting that extends beyond the initial 4-6 week “adjustment phase”. If things don’t resolve within the first few months, I would recommend that you schedule a follow up appointment with your doctor to discuss the details further and have things checked out. Thanks for your question! -Dr. Dervaitis

[@dr.kristinadervaitis789]

Hi Amanda- Daily bleeding can be normal for up to 4-6 weeks after an IUD insert. I don’t think that a higher dose oral contraceptive pill would be of benefit. An IUD can be removed at any time. -Dr. Dervaitis

[@ii_asso2566]

Hi .. Dr. Does the IUD cause back pain?

[@dr.kristinadervaitis789]

Hello- Generally speaking, most pain or discomfort associated with IUD insertion is described more as cramping pain (like period cramps) and in the lower abdomen. Back pain would not be typical. -Dr. Dervaitis

[@Jonz8]

I got mine Mirena IUD 11th of Octouber 2019 by under general anesthesia. I'm so scared! 😭I got epinefrin injection because I'm allergic to penicilin. It was adrenalin on it. Then I feel better. And I have nausea and little pain and I feel dizzy and I been very "high" when I woke up. I got allergic reaction to antibiotic called Zinacef. I got Zinacef infusion on my iv because the stopping infections just in case. Putting intrauterine device went well.

[@mollyc835]

i’ve had the kyleena for almost 8 months and i still have periods that are 10-14 long and my gyno had prescribed me a birth control pill to regulate but i’m still struggling with the long period. any suggestions?

[@dr.kristinadervaitis789]

Hi Molly- I agree with your Gynecologist- we often prescribe a few months of the birth control pill (for simultaneous use) to try to help patients with bleeding issues. If that doesn’t work (and having ruled out any “pathological” cause for bleeding) I might recommend switching from a lower dose levonorgestrel IUD like Kyleena, to a higher dose (52 mg) levonorgestrel IUD like Mirena or Liletta- sometimes the additional progesterone may be enough to lessen the bleeding. -Dr. Dervaitis