Presentation
This report is unique due to the subtle presentation of a potentially life-threatening diagnosis. [ncbi.nlm.nih.gov]
Hematological
- Prolonged Bleeding
IUDs >250mm2, Outcome 5 Prolonged bleeding. [doi.org]
Heavy or prolonged bleeding (includes regular and irregular patterns) 2 1 2 Clarification: Unusually heavy bleeding should raise suspicion of a serious underlying condition. [cdc.gov]
Women using copper-bearing IUDs may experience: Heavy and prolonged monthly bleeding Irregular bleeding More cramps and pain during monthly bleeding These bleeding changes are normal and usually are not signs of illness. [ippf.org]
Entire Body System
- Pain
With OBJECTIVES: The objective of this analysis was to estimate the association between anticipated pain with intrauterine device placement and experienced pain. [ncbi.nlm.nih.gov]
- Fever
Familial Mediterranean fever (FMF) is an autosomal recessive disorder characterized by episodic, recurrent, self-limited attacks of fever and serositis (sterile peritonitis, pleuritis, arthritis, etc). [ncbi.nlm.nih.gov]
After arriving home, contact your doctor if any of the following occur: Severe cramps, pain, or tenderness in your abdomen Fever or chills Unexplained vaginal bleeding or unusual discharge from your vagina IUD. Planned Parenthood website. [health.cvs.com]
Counsel patients to return for evaluation after IUD placement if they have complications (eg, pain, heavy bleeding, abnormal vaginal discharge or fever). [merckmanuals.com]
- Chills
After arriving home, contact your doctor if any of the following occur: Severe cramps, pain, or tenderness in your abdomen Fever or chills Unexplained vaginal bleeding or unusual discharge from your vagina IUD. Planned Parenthood website. [health.cvs.com]
Photo Credit Dolly Faibyshev for The New York Times Work Out and Chill? Cool temperature workouts may be the answer for those who want to exercise without becoming a hot mess. [nytimes.com]
There can be some cramping and backaches, so plan on chilling at home after your appointment — it’s a great excuse to curl up on the couch with your favorite book or movie. Heating pads and over-the-counter pain meds can help ease cramps too. [plannedparenthood.org]
[…] threat to the lady, but still it is important to be vigilant about following warning signs: If the lady feels a hard plastic thing coming out of vagina If the lady has conceived Cramping, pain, soreness in abdomen Severe pain during intercourse Fever, chills [medindia.net]
Call your provider right away if you have: Flu-like symptoms Fever Chills Cramps Pain, bleeding, or fluid leaking from your vagina Mirena; ParaGard; IUS; Intrauterine system; LNG-IUS; Contraception - IUD Association of Reproductive Health Professionals [medlineplus.gov]
- Falling
The expectation is that in years to come the number of hysterectomies and female sterilizations will fall due to increased use of the device, including use by patients with endometriosis and HIV-positive women. [doi.org]
Can my IUD fall out? Your doctor will check your device during your regular office visits. Your cervix should hold the IUD in place, but in rare cases, it can fall all the way or part of the way out. This is more likely if: You don't have children. [webmd.com]
IUD may fall out. Pregnancy while using the IUD, although rare, may be dangerous and lead to infections or ectopic pregnancies. Back to top Things to Remember IUDs do not protect against STIs. [pamf.org]
If your IUD falls out, you’re NOT protected from pregnancy, so make sure to go see your doctor, and use condoms or another kind of birth control in the meantime. [plannedparenthood.org]
- Severe Pain
CONCLUSION: Despite finding that none of the study drugs seemed effective prior to IUD insertion, insertion did not cause severe pain. [ncbi.nlm.nih.gov]
If lady reports severe pain during insertion, the procedure should be stopped immediately and signs of bleeding need to be assessed. [medindia.net]
You should see you doctor or nurse if you feel unwell and have the following symptoms after having the IUD fitted: A high temperature Severe pain in the lower abdomen A smelly discharge from the vagina These symptoms may mean you have an infection. [netdoctor.co.uk]
You have severe pain or bleeding during your period. You have a fever and severe abdominal pain. When should I contact my healthcare provider? You think you are pregnant. The IUD has come out. [drugs.com]
But some can cause bloating, swelling, or pain in the lower belly. If a cyst ruptures, it will cause severe pain. See your doctor if you have these symptoms. [webmd.com]
Gastrointestinal
- Abdominal Pain
The patient presented with vomiting and abdominal pain after insertion of an AiMu MCu IUD, was treated via laparoscopy and had a full recovery. [ncbi.nlm.nih.gov]
- Severe Abdominal Pain
While you're using ParaGard, contact your health care provider immediately if you have: Signs or symptoms of pregnancy Unusually heavy vaginal bleeding Foul vaginal discharge Worsening pelvic pain Severe abdominal pain or tenderness Unexplained fever [drugs.com]
Women who have severe abdominal pain or cramps, pain or bleeding with sex, unexplained fever and chills, or unexplained bleeding after the adjustment phase should call their health-care professional immediately. [emedicinehealth.com]
Cardiovascular
- Hypertension
Adequately controlled hypertension 1 1 Clarification: For all categories of hypertension, classifications are based on the assumption that no other risk factors for cardiovascular disease exist. [cdc.gov]
But a 2015 study in Therapeutic Advances in Drug Safety found a higher number of intracranial hypertension reports than expected in the FDA’s FAERS database. Intracranial hypertension is a condition where the pressure increases in the skull. [drugwatch.com]
Women who cannot use birth control pills because of cigarette smoking or conditions like hypertension ( high blood pressure ) may be able to use an IUD. Many women experience less menstrual blood loss and pain with hormonal IUDs. [emedicinehealth.com]
Medical condition Levonorgestrel-releasing IUD (Mirena) Copper T 380A IUD (Paragard) Initiation Continuation Initiation Continuation Cardiovascular conditions Deep venous thrombosis (history of) 2 2 1 1 Deep venous thrombosis (on anticoagulants) 2 2 2 2 Hypertension [aafp.org]
Musculoskeletal
- Back Pain
Common side effects may include: pelvic pain, vaginal itching or infection, irregular menstrual periods, changes in bleeding patterns or flow; stomach pain, nausea, vomiting, bloating; headache, depression, mood changes; back pain, breast tenderness or [rxlist.com]
This includes: Lower abdominal pain, cramps, and/or back pain. Spotting between first few periods. The ParaGard IUD may cause a 50-75% increase in menstrual flow, which for some women, may increase their risk for anemia. [contraception.about.com]
Heating pads and OTC painkillers may help. pain on insertion, and possible back pain for a few days following the procedure spotting of blood between periods for 3 to 6 months irregular menses for 3 to 6 months with a hormonal IUD heavy periods with worsened [medicalnewstoday.com]
You may feel some cramping or back pain for a few days after the procedure. Taking ibuprofen about an hour before the procedure and as needed afterward should help lessen any discomfort. You can use tampons as soon as you want after insertion. [babycenter.com]
Psychiatrical
- Withdrawn
However, a revival is happening, and one of the withdrawn copper IUDs has been re-introduced in the USA. [ncbi.nlm.nih.gov]
View/Print Figure Figure 12 The inserter is withdrawn while the intrauterine device is released. Reprinted with permission from Berlex, Inc. Figure 12 The inserter is withdrawn while the intrauterine device is released. [aafp.org]
The device's arms will fold upward as it's withdrawn from the uterus. Light bleeding and cramping are common during removal. Rarely, removal can be more complicated. © 1998-2019 Mayo Foundation for Medical Education and Research (MFMER). [drugs.com]
This IUD, which was launched in 1971 in the USA, was withdrawn in 1974 in the face of litigation and adverse press coverage. The whole IUD market, however, became tarnished with the Dalkon brush. [web.archive.org]
Urogenital
- Vaginal Bleeding
Continuation of hormonal intrauterine devices (IUDs) - widely used and highly effective contraceptives that also decrease menstrual flow - is controversial during hematopoietic stem cell transplants (SCTs) due to infectious and vaginal bleeding concerns [ncbi.nlm.nih.gov]
Consequently, research should concentrate on the alleviation of abnormal vaginal bleeding. Prevention is difficult, mainly because the etiopathology of abnormal bleeding is insufficiently understood. [doi.org]
- Dysmenorrhea
Nulliparity, history of dysmenorrhea, and the hormonal intrauterine device (compared with copper) also were associated with increased pain with intrauterine device placement. [ncbi.nlm.nih.gov]
Moreover, the device is able to reduce pelvic pain and dysmenorrhea as well as improve the staging of endometriosis and adenomyosis, and to control, albeit partially, endometrial hyperplasia. [doi.org]
- Salpingitis
Choice of an inappropriate comparison group, overdiagnosis of salpingitis in IUD users, and inability to control for the confounding effects of sexual behaviour have exaggerated the apparent risk. [ncbi.nlm.nih.gov]
Rarely, salpingitis (pelvic inflammatory disease) develops during the first month after insertion because bacteria are displaced into the uterine cavity during insertion; however, this risk is low and routine antibiotic prophylaxis is not indicated. [merckmanuals.com]
Of 918 women in the antibiotic group and 915 women in the placebo group who had a device inserted and were followed for 90 days, only one woman in each group developed salpingitis 26 Walsh T, Grimes D, Frezieres R, et al. [doi.org]
Workup
This case emphasises the importance of a full workup for a missing IUD and that, if incidentally found, IUDs can be removed safely laparoscopically in conjunction with another procedure. [ncbi.nlm.nih.gov]
Microbiology
- Chlamydia
If you have pelvic inflammatory disease (PID) or an active gonorrhea or Chlamydia infection, IUD insertion is not recommended. However, if you have an asymptomatic gonorrhea or Chlamydia infection, IUD insertion is considered safe. [ec.princeton.edu]
Microscopic evaluation, bacteriological and fungal culture, and antigen testing for Chlamydia trachomatis using an immunochromatographic test method were performed. RESULTS: Trichomonas vaginalis was not detected by wet mount examination. [ncbi.nlm.nih.gov]
An IUD should NOT be used by women who: Have a history of cancer in the uterus or cervix Have unexplained vaginal bleeding May be pregnant Have pelvic inflammatory disease Have a history of ectopic pregnancy Have Gonorrhea or Chlamydia Are not in a mutually [americanpregnancy.org]
Cramping and pain with insertion Small increased risk of PID (pelvic inflammatory disease) immediately after insertion PID can occur if you are exposed to gonorrhea or chlamydia while using an IUD. [healthcenter.indiana.edu]
Treatment
Patients responding to treatment had significantly lower progesterone receptor expression on post-treatment biopsies. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis Complications IUCD embedding IUCD perforation three-fold increase risk of generalised pelvic inflammatory disease (PID) pelvic actinomycosis infection pregnancy-associated with IUCD associated pregnancy with spontaneous m iscarriage [radiopaedia.org]
Etiology
Menstrual hemostasis is a complex phenomenon and attempts at etiological treatment give poor results. [ncbi.nlm.nih.gov]
Antibiotic prophylaxis has been convincingly shown to have no effect on the incidence of postinsertion pelvic inflammatory disease. [32, 33, 34] Risk of infection is greatest the first 20 days after insertion, suggesting the etiology of infection is contamination [emedicine.medscape.com]
Epidemiology
Furthermore, a recent pooled analysis of 26 epidemiological studies suggested that IUCs might protect against cervical carcinogenesis 66 Castellsague X, Diaz M, Vaccarella S, et al. [doi.org]
Russell Luepker, head of epidemiology at the University of Minnesota. I wouldn't go out and get my thighs measured, either. Who can measure leg length accurately to within 0.4 to 0.7 inches? Not many of us. [medpundit.blogspot.com]
Prevention
‘There's also a new intrauterine device, a mechanical device, that just prevents the sperm from meeting the egg.’ [en.oxforddictionaries.com]
MORE RELATED WORDS FOR INTRAUTERINE DEVICE contraceptive noun birth control method IUD armor barrier method coil condom diaphragm foam hormone intrauterine device jelly loop pill planned parenthood preventative preventive medicine prophylactic rhythm [thesaurus.com]
[…] pills (POPs) prevent pregnancy through a combination of actions. [web.archive.org]
Intrauterine devices prevent sperm from fertilizing an egg, and prevent fertilized eggs from implanting in the uterus. The use of intrauterine devices is also being studied in the prevention and treatment of endometrial cancer and other conditions. [fpnotebook.com]
Considerations for Christians The IUD prevents both fertilization and implantation, but generally does not prevent ovulation. Most medical organizations define pregnancy as beginning with implantation. [christianfamilyplanning.org]