Why am i bleeding if i have an iud

PIP: IUD-induced bleeding may occur in the form of 1) an increase in the menstrual blood loss at cyclical periods, 2) increased duration of bleeding at periods, and 3) intermenstrual bleeding and spotting (1-4). The type of device used, surface area, duration of usage, the variable individual response to the same type of IUD, the cultural and social background of the woman, previous menstrual pattern and amount of blood previously lost, different thresholds of discomfort in different women, and parity may exert influences on the frequency of bleeding, acceptance, and indication and motivation for the IUD removal due to bleeding. With the exception of the progestasert IUDs, all devices increase (MBL) menstrual blood loss by 50-100% over preinsertion levels. Compared to inert devices, copper IUDs are associated with less MBL. Few studies have been done to analyze the pattern of (IMB) intermenstrual bleeding in IUD users. The frequency of IMB is about 40% in the 1st cycle for women using copper devices but the amount of blood lost in these cases is minimal. The incidence of IMB with copper devices is higher than with inert IUDs. 30% of all IUD users are expected to experience a prolonged menstrual cycle. It appears that in spite of the reduction of MBL with progestasert IUDs, they are associated with a prolongation of menstrual periods, more so than the copper and the inert devices. The pathogenesis of bleeding disturbances in IUD users is multifactorial and different etiologies have been suggested for different types of bleeding disturbances. Local increase in fibrinolytic activity is the most accepted cause for the increase of menstrual blood loss. All IUDs, with the exception of the progestasert, increase fibrinolytic activity of the endometrium. Various factors come into play in the pathogenesis of IUD-induced bleeding. The distortion of the endometrial vasculature by the presence of IUD can be explained by 1) the direct effect of the device on the superficial vessels causing abrasions and erosions with possible irregular bleeding and/or 2) the pressure distortion of the IUD, probably transmitted through endometrial tissue and resulting in endothelian injuries with defect formation in the small superficial vessels of the functional zone of the endometrium. The injury of vessel will lead to interstitial hemorrhage with the release of blood in an irregular pattern to the uterine cavity. The defective hemostatic mechanism in the IUD-exposed endometrium also contributes to the bleeding.

I’ve had the Mirena IUD for a year now and I stopped having a period, but sometimes I have some spotting from time to time - is that normal?

Great question! For most women with a Mirena IUD, not having a period at all is actually the most common side effect. Typically, there is an adjustment phase when you first get a Mirena, and during this time, your period may be irregular, infrequent, or more like spotting. Usually after 6 months, your period goes away completely.

While not having a period is a great added benefit to convenient, reliable birth control, Mirena IUD is actually the only IUD FDA approved to treat heavy or painful periods so many women get a Mirena solely for those benefits! Having a period is not necessary and it is completely healthy for you to not have a period while you are using a type of birth control like the Mirena that causes it to stop while you have it.

It is very common that women have some irregular spotting or bleeding while their body is adjusting to their new IUD, or sometimes even after their body adjusts.

Though spotting is most likely related to hormonal fluctuations and not dangerous, spotting can sometimes be a sign of something more serious such as an STD or precancerous changes on your cervix. Make sure you come to see us for a thorough health exam and we can help you stay up to date on your preventative health!

It is important to remember that we cannot say for sure without examining you, and every woman’s body is different. If you are ever having any symptoms that worry you, you should make an appointment for an exam right away.

We are proud to offer Telehealth visits so that you may consult with a provider from the safety and comfort of your home! Visit www.fpawomenshealth.com and book a Telehealth appointment on-line today if you have any additional questions.

Also, please ask your Telehealth provider about our new program to mail birth control pills, emergency contraception, and condoms directly to your home!

Usually, slight bleeding after sex is considered normal and common amongst 9% of menstruating women. This happens because of skin irritation, increased friction caused by less lubrication or when it stretches after a long time, STDs, etc. However, if you have IUD – short for intrauterine device, bleeding after sex might be a sign of trouble. Continue this blog for more information on bleeding issues after an intimate session, what are the reasons, is IUD safe, and treatment methods.

What Is An IUD?

It is a tiny, T-shape device that your doctor inserts inside the uterus for preventing pregnancy. An estimation says that it is a convenient and safe method of avoiding unwanted pregnancy. There are two main variants of IUDs available, copper and hormonal.

Copper IUD

These are plastics wrapped in copper material. Usually, copper IUDs last for around 12 years easily. Moreover, you can also use it as an emergency birth control; all you have to do is insert it after 5 days of having unprotected sex.

Hormonal IUD

This kind has progestin – a hormone in it. A hormonal IUD lasts around 3 to 5 years.

IUD and Bleeding After Sex

Usually, IUDs do not cause bleeding from the vagina. However, different IUD devices have different side effects. A woman’s body takes a few months to fully settle in and come to terms with the foreign matter fixed inside it, the IUD. The user may have breakthrough bleeding after IUD insertion in between monthly periods as well.

When the woman suffers from spotting just after sex, it is considered that IUD is causing the bleeding. The physician places the IUD through a vaginal opening from the cervix inside the uterus, and they have rigid plastic strings attached, which are used for taking the device out at a later date.

Mostly, because of the positioning of the IUD inside the vagina, bleeding is not possible after sex. However, if it displaces and lodges in the vagina, bleeding may take place.

Pain and bleeding after sex with IUD are not common occurrences after sex; therefore, if you feel or notice any of these symptoms, schedule an appointment with your doctor. They will ensure that the device is in the proper place and there is no lingering infection in the cervical area.

People susceptible to IUD displacement are:

• Teenagers
• Women who insert IUDs right after giving birth
• Individuals who suffer from heavy period flow

Reasons beside IUD for Bleeding After Sex

If you do not have an IUD inserted, there may be some other reasons causing bleeding after sex. Scientific research published back in 2014 states that 0.7 to 9 percent of menstruating women bleed after sex which is called postcoital bleeding.

It is a worrisome condition that needs appropriate attention. Some of the usual causes for this condition are:

• Insufficient or poor lubrication while having sex
• Cervical infections or pelvic inflammatory disease
• Genitalia lesions
• STD such as herpes or syphilis
• Endometrial or cervical polyps
• Vaginal tears
• Thin vaginal tissues or also known as vaginal atrophy

Treating Bleeding After Sex

Bleeding after sex, with or without IUD, is managable in the following ways:

• Use lubricants during sex to avoid friction.
• Go for gentler sex.
• Use medications for STIs and STDs
• Surgery for cervical polyps or cancer

Conclusion

Learn more about birth control options and choose whichever suits you best. If IUD bleeding after sex is a common routine talk to your physician right away. Or, you can contact one of the best physicians in Magnolia or Houston, Texas, call 281 252 8600 at Internal Medicine And Diagnostic Center

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