I Have An IUD In Place And Have Had It
 
                                    
                                    
                                                
                                                Wed, 11 Dec 2019
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                
                                                Last reviewed on
                                             
                                            You need to remove the old device and place a new one.
Detailed Answer:
Hello dear, welcome Ask a doctor's service.
I read your query and here is my advice.
Usually an IUD can be used for 5 years then it should be removed.
Your IUD has been expired so you may need to remove it and place a new one.
The absence of periods may be caused by hormones because you may be having hormone device like Mirena and spotting may be caused since it has expired and causing hormone deficiency.
Also you should get examined for other issues such a pap smear and ultrasound to check for possible pathologies.
Go to your gynaecologist to remove it and place a new one.
Hope I have answered the question.
Let me know if I can assist you further.
 Pap smear is needed.
Detailed Answer:
Hello dear and thank you for asking again.
Being sexually active without protection would not cause bleeding.
You may need to do a pap smear also. Column uteri pathologies may make bleeding or spotting appear during or after intercourse.
Let me know if I can assist you further.
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