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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Cramping After Inserting Paragard?

I have the paragard iud I've had for almost three years. Off and on I've had problems with severe pains that seem to be from gas but I can feel it in my cervix. This month during my period I had severe pains and cramping just like when they put it in. When I checked it I could feel a bump but my strings were still in place. Went to my local clinic that I had it inserted at and they looked for about thirty seconds said, oh your strings are there so you're fine, and dismissed me. I need to know if I should be worried about these pains? They were so intense my husband couldn't even bump against me without causing me pain. I don't have insurance so a second opinion isn't an option. I'm really afraid the pain means it's perforating something...
posted on Fri, 14 Mar 2014
Twitter Fri, 12 Sep 2014 Answered on
Twitter Fri, 12 Sep 2014 Last reviewed on
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OBGYN 's  Response
Hello,
You are right to become concerned about the position of the intra-uterine device. In the current scenario, the accurate position of the device can be known through a trans-vaginal sonogram and/or an MRI of the pelvis. If the device has been confirmed to be in-situ, then the cause of the pain should be identified and the possibilities are some pelvic infection and endometriosis. Though you may get relief through use of antispasmodics, since you say the pain is sever, you should get investigated further. Hope this helps.
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What Causes Pain And Cramping After Inserting Paragard?

Hello, You are right to become concerned about the position of the intra-uterine device. In the current scenario, the accurate position of the device can be known through a trans-vaginal sonogram and/or an MRI of the pelvis. If the device has been confirmed to be in-situ, then the cause of the pain should be identified and the possibilities are some pelvic infection and endometriosis. Though you may get relief through use of antispasmodics, since you say the pain is sever, you should get investigated further. Hope this helps.