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.
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 💞
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.😀
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
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
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
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.
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.
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!
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
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
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?
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 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
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.
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 ?
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!
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
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
Thank you for the video! I was recently diagnosed with hyperplasia with atypia. Got mirena 2.5 weeks ago. First week was spotting but for past 1.5 weeks it’s heavy bleeding. I don’t see my gynaecologist until Oct 9th and I hope it’s normal
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
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
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
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
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
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
I was so concerned about my bleeding, my doctor didn't go into too much detail about the aftermath of having the Cooper IUD. Thankfully my bleeding stopped at day 5 from insertion. However, I'm still having cramps, and I sit for long periods of times. I find that my left side ovary/uterus is very tender and in discomfort. I worry about the IUD perforating my uterus (I think I'mbeing paranoid). Maybe, if you do a video similar to the bleeding but this time about cramps, pain and shifting of IUD, or debunk the miths, please!😟
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 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.
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 :(
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
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
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
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
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!
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
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?
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
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’
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.
Ugh. I’ve had an iud for about 6 months and have had horrible luck. Heavy bleeding for about two weeks at a time with severe debilitating cramping. I tried to hang in there as long as I could because everyone else I know who has it loves it. On the pill I use to get very light bleeding for about three days and pain the say prior to my period and the first day. I’m finally getting it removed this week. thank you for all your information!
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
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
I had harmonal IUD (Mareena) inserted 4 days ago, during 3rd day of the period. So far no issue of extra bleeding or prolonged periods, infact it remain same as before. Just finished now. No cramp, no headache etc. So far. I was scared before. Hope it goes well afterwards too.
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👍🏼
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
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❤️
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 ..
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
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.
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?
Hello, Dr. Dervaitis, this video is so useful I clicked Subscribe right away! I am glad I landed on it! I am going on vacation with my husband in 3 weeks and I got my period couple days ago, I am supposed to get my Paragrad (copper iud) when I get my period but I am hesitant to do it now because I don’t want to ruin the vacation. Do you think I should wait after the vacation to get it? Although my period is very light you could call it spotting. I also want to ask if the bleeding continues for a long time after insertion with women of light periods? Thank you again!
I can’t really answer this question, there’s no way to predict precisely how much bleeding a patient will have (or for how long) after an IUD insertion. Refer back to the video for general information about post insertion bleeding. Glad you found the video helpful! -Dr. Dervaitis
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.
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?
I just got my Kyleena (first ever IUD) 3 days ago and my cramping is pretty intense, much more than I have ever experienced!! Ouch. Probably an 8/10 at times, Advil helps. They do come and go and it is not a constant pain, so that is good news. I assume the adjustment period could be a few weeks until my uterus gets adjusted? No spotting or bleeding yet post insertion!
Hi how are you feeling a year later? I am experiencing the same as you and really want to know if this subsides... the bleeding I can cope with it's pretty light but the camping is messed up!
@@tamisfincher I gave it a good 6 months, but ultimately it was not the right fit for me. I couldn't get over the idea of having the IUD inside me lol. However, post insertion I didn't have any bleeding and was period free for the entire 6 months! Cramping went away after a week or two. I would've stuck with it longer if I wasn't such a worrier. I am back to taking the pill but progesterone only.
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
Thank you for this Dr! I had the copper IUD fitted about a year ago. In January I missed a period due to exercise and fasting, and since mid Feb I have been bleeding continuously for about 6 weeks! Spoken to my Dr who didn't seem worried, but is this normal? I have no pain, no discharge, no cramps, i can still feel the stings, nothing at all sinister... I'm not keen to switch, as I really don't want the hormonal forms of contraception. So I'm trying to be patient. The blood looks fresh, and at some point in the cycle there was some clotting which has now stopped! But i still have some mild bleeding. I had literally no issues with it upon insertion and no issues for the first few months! But I have noticed continued bleeding after missing a period (after fasting/exercise - what I'm experiencing now is the 2nd occasion since having it fitted). I'd truly appreciate your feedback!
Hi Dr Thanks so much for this video. I had my Mirena inserted 4 months ago (replaced my Copper T with Mirena) and I'm bleeding constantly but a light bleed. I had a dermoid cyst removed two months ago so not sure if my hormones are out of wack. I see you recommend using an oral contraception concurrently with Mirena. Does this usually help patients with the prolonged bleeding problem? I'm keen to request a script from my OBGYN. I used Tranic for 5 days and it didn't help at all so I'm wondering if OC will help at all? Thank you
Hello- Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you discuss this further with your own doctor. All the best, -Dr. Dervaitis
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.
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
@@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
@@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.
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.
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
Thank you, I feel relieved to have watched this excellent video, I’ve had 3 polyps removed with myosure then mirena inserted and am 58 had 3 kids and thought all was well in menopause however I was wrong when heavy bleeding started up again After my hysteroscopy and above procedures I’ve been shocked by more quite heavy blood loss and wasn’t prepared at all Does what you’ve explained apply to me as well, in that will this settle over time ?
Glad you found the video helpful! This channel is not intended to provide personalized medical advice. If you are experiencing prolonged or heavy bleeding, see your doctor. -Dr. Dervaitis
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 ...
Hi Kristina, First , thank you for your wonderful content. I got my copper IUD fitted last Wednesday and I had cramps and bleeding for the first few days, which resolved after three days. However last night I had extremely severe cramps for about an hour with about 5 minute intervals between each. Today I am not having any cramps but feeling tired and a bit sore. I've also noticed a slight yellow/ brown discharge. Do you think this is something to worry about? All the best
Hello- Glad you have found the videos helpful. This channel is not intended to provide personalized medical advice. If you are concerned about your symptoms, talk to your doctor. All the best, Dr. Dervaitis
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.
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
Thank u, my obgyn explained nothing to me at all. Ur video is fantastic. Just got one in yesterday for heavy bleeding causing anemia and I’m 43. Hopefully this helps my situation.
Thank you so much for sharing. It’s now been 7 days since I’ve had the mirena in and I already want it out. Still bleeding and painful cramping 😢 I only have it in to help managing painful and heavy periods. I want to go swimming next week, if I’m still bleeding can I use a tampon? (It’s the middle of summer time here).
There is not any solid evidence to say that tampons should be avoided after IUD insertion (although it’s been my practice to advise my patients to wait 3 weeks before using tampons because that’s the window of time where there is more of a risk of infection, albeit a very low risk). -Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for the reply. It’s going to be 32c here tomorrow and I’m still bleeding, hopefully it will have eased by tomorrow. Can’t wait to be able to go swimming.
Hello mam. Your all lectures are very informative. Thanks for sharing! I am suffering from Endometrial Hyperplasia from 3 years. Which type of IUD will you recommend to me?
Please see video #31 which is all about using the hormonal IUD (usually Mirena or Liletta) for treatment of endometrial hyperplasia: ruclips.net/video/cdwvf6RJq0M/видео.html
Hi Doctor! Thank you so much for this informative video. I got mirena insertion 1 and half mont ago. My bleeding stopped after 4th day of insertion. my first period after mirena insertion came early and now it's 21st days I am still bleeding. Bleeding is not very heavy and it's accompanied by mild cramps. Just wanted to know if it's OK?
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
Hi Dr. Kristina, greetings from Melbourne. I’m Dona, and thank you so much for your informative very helpful videos. I’m writing to you to get some advise, I appreciate your time doctor. I got a Mirena inserted at a submucosal fibroid removal surgery. After two days of surgery I got an infection and given antibiotics for ten days, but my VOG asked me to stop them on the fifth day. It’s been four weeks now and I was recovering well upto 3rd week and had a little fast jogging(3rd Oct) as I was feeling good with no swelling, bleeding and pain, after 15 minutes I felt a pain on my left lower tummy and I headed back home, then my tummy significantly swelled after I got home, it improved by the following Thursday, but next Sunday(10th Oct) and Monday whole day that left lower area had a continued pain(bearable), and light bleeding could be seen. Dear doctor, my question is, can the Mirena be touched the fibroid removed wound area and not healing that patch? and giving this trouble? Shouldn’t there be a reason for this pain? (Kind note: I am scheduled to see my VOG on 25th Oct to see the placement of Mirena.) Dr. Kristina, any advice you could give me on this sudden pain and swelling, appreciate your time and I am very thankful.
Hi Dona- Unfortunately this channel is not intended to provide personalized medical advice, and your very specific question is beyond the scope of this channel. Talk to your doctor. All the best, Dr. Dervaitis
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
Same with not because i don't want to have a baby Just because of my menstruation clot during my period that's why the doctor decided to insert merina now I'm having bleeding and cramping i hope i will be fine
i have taken out the mirena after 9 months, I kept bleeding 50% of the time. did keep getting cramps from time to time and then bleed. I prefer a heavy period over this cramps and blood all the time
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!
Hi Dr! Your video really helped me. I've been having the Mirena, and I've had it for some years. But it seems like on my third year I started having regular periods again and very heavy, I have went to the dr and one told me it was normal for that to happen and the idu is never out of place, do you think I should replace it
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 .
Thank you for the helpful information. How is the bleeding compared to a period? When you first get the IUD? After a few months? I don't want to be bleeding all the time with an IUD, if it is going to affect my sex life. No point in the IUD than. Thanks.
During the 4-6 week adjustment phase the bleeding is usually lighter than a period, and sometimes just spotting or discharge (and some patients might not bleed at all). In a small number of women the bleeding might be heavier (like a period). If you are concerned about excessive bleeding, see your doctor. -Dr. Dervaitis
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
I have had my period since April first and it still hasn’t gone away. And I have had it none stop and it hasn’t ending yet. Idk when it’s going to go away.
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
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
This is my personal recommendation to my patients and not a “hard and fast rule”. The highest risk window for infection is during the first three weeks after insertion, and so I think it makes sense to minimize foreign bodies in the area during that time (although I concede that there is not a particular study that has been done to address this issue one way or the other). -Dr. Dervaitis
Thank you Mam for your videos. It is very informative. I have a question. I have Morena in 2018. After 4 yrs I am getting spotting because of physical stress of my work. I have checked everything like blood test, scan etc. All normal. But after travelling or long walking it is happening. Is it normal or to be worried Mam
I’ve had my Kyleena IUD for about 5 months now and every other time after intercourse I bleed for about a day or two. I don’t experience any pain during intercourse and I can feel my strings just fine. I’m not sure if it’s something I should be worried about or not.
Hi Vic Veil- Based on what you are describing, it doesn’t sound worrisome. But as I mentioned in the video, when I see a patient with this issue, I do an evaluation that includes infection screening. It might be a good idea to see your doctor for a check up if the symptoms persist. -Dr. Dervaitis
Thank you so much for your video! Very comprehensive and easy to understand. I got my Mirena almost two months ago. My spotting is finally starting to lighten up and I could tell where my period was last month through the spotting. I have not gotten my period yet this month. Should I be concerned about pregnancy or am I most likely in the 30% that don’t get periods anymore. I have my follow-up in a month and I was told not to worry about checking strings so I worry all the time about the state of my iud.
I’ve had a copper IUD for 2 years now and I am seeing spotting in between periods . Is this something I should be concerned about ? I appreciate the response! Thank you!
I have the paraguard placed on June 18 it’s July 20th and I’ve been bleeding ever since. I’m Passing blood clots. I woke up in a pool of blood and passed out. Doctors won’t remove it since my body needs to be adjust it. I’ll remove it myself.
Hello Dr. Kristina, I asked a doctor about the copper IUD and he was talking to me about sizes? He said if the wrong size is inserted, it may not work. I have never heard anything about sizes when it comes to IUD's. Do IUD's have sizes?
Several IUD companies have marketed a slightly smaller IUD geared towards patients who have not yet had children. They may be somewhat easier to insert in these patients (although it is also possible to use the “regular” sized IUD’s). The smaller version of the hormonal IUD available in Canada is Kyleena (5 years). Some of the smaller copper IUD’s may only be effective for 3 years (check with your doctor when discussing which particular IUD is prescribed). -Dr. Dervaitis
Thank you so much for video...I had my copper iud after 10 days of menstruation 3 days back and soon after insertion I had bad cramps and lower back pain and continues spotting..and mucus like thing and sometimes there's not blood but too much amount of clear water that wet my underpants and jeans.... feeling uncomfortable...
Make sure to have a follow up check up to rule out any infection possibility, though I know this comment was posted 3 months ago, so I hope everything worked out for you
Hi Dr. Dervaitis. I am actually one of your patients. :) I'm 54 and have had a Mirena IUD for 3.5 years. I have had blood (erythrocytes) in my urinalysis a number of times over the past 2 years. I just had a workup done to be a living kidney donor and I was disqualified due to erythrocytes in my urine even though I was not menstruating. Could the IUD be causing this? Thank you.
Hi Leanne- The IUD does not cause hematuria (unless someone is having menstrual vaginal bleeding that gets into the urine and causes a “false positive”.) It must be frustrating to go through the difficult decision making process of deciding to be a kidney donor (what a generous gift!) only to be disqualified. I’m sorry to hear this. Most importantly, I trust that you will have further investigations/work up for your hematuria. All the best, Dr. Dervaitis
Hello thank you so much for uploading this video it did help a lot! I did have a concern about my IUd . About a month ago I had it placed and I'm been bleeding with small blood clots? I was wondering if that's normal ?
Thank you so much for this video, this is my first time with an iud and I’ve notice since I got my first period I have been bleeding since which is going onto almost two weeks how long will this continue for everyday? It’s very light but still
Hi! I wanted to know what periods are like with copper IUD? I have heard from different people having heavy monthly periods and others saying they have monthly heavy periods mixed with spotting brownish/ pinkish periods
Many (although not all) patients with a copper IUD report heavier periods that may be associated with more cramping. There can be some breakthrough/ irregular bleeding- particularly in the first 4-6 weeks after insertion (as things are adjusting). Please see video #7 and #11 for more info. -Dr. Dervaitis
I'm really stressed about deciding whether to try an iud or not. I started using birth control due to incredibly heavy periods, and so far nothing has really worked. I'd say I've been bleeding daily for the past year and a half (I'm on iron pills don't worry), and have tried every pill variety that my doctor thinks is good for me and the depo. The depo shot has increased cramping and bleeding tremendously and it isn't slowing down. My doctor thinks that the next step is an iud, however, I'm not gonna say my age but, I'm very young. There is a doctor that she knows who specializes in placing iuds of young girls who haven't had sex or given birth. But I'm really worried about the pain and whether or not it's gonna work for me. So far it feels like nothing is working no matter how much time I give it, what if I go through this procedure and it just ends up being like everything else after several months?
Hi Lee- I’d recommend that you watch video #6 “IUD Insertion Step by Step”. In it, I explain the procedure (and that it’s not necessary to have had children or even intercourse ever prior to insertion). I have placed IUD’s in adolescents as young as 14, and many MANY who have not yet been sexually active. I can understand your frustration at the thought of trying yet another treatment without success. Unfortunately, there is not any way for us to predict what response any given patient will have to the levonorgestrel IUD. However, statistically, most patients notice an improvement in their bleeding (it tends to work well because the medication is delivered directly to the lining of the uterus where it needs to do its work...) Best wishes, Dr. Dervaitis
I think I missed responding to this question earlier, my apologies. Bleeding can sometimes be heavy immediately after an IUD insertion, but it’s not typical. Sometimes it depends on how heavy your cycles are prior to the IUD insert (and what time during your cycle the IUD was inserted). If the bleeding doesn’t slow, I’d recommend that you see your doctor. -Dr. Dervaitis
Dr. Kristina Dervaitis I’ve had my IUD for about two months now and I started bleeding a day after it was inserted. Now two month later my period seems to come every two weeks and last for two weeks lol so I only have about two weeks out of the month . I’m gonna see how it goes through the next two more months to see if it changes but if not I’m going to have it removed . A friend of my family’s just went to have hers removed and they can’t find it . This is very scary to me .
Hi- Generally speaking, “adjustment phase” bleeding can sometimes last longer than 6 weeks (sometimes up to a few months) and the amount can vary. Having said that, I unfortunately can’t give personalized medical advice over the internet (since I am not your physician and don’t have all of the relevant information or the ability to examine you...) If you are concerned, you should see your doctor. Regarding your friend’s situation and any possible difficulties with IUD removal.... I’d recommend that you watch my video #13 (about IUD Removal) for more information. -Dr. Dervaitis
![CHILE vs. BRASIL [1-2] | RESUMEN | ELIMINATORIAS SUDAMERICANAS | FECHA 9](http://i.ytimg.com/vi/5ObJt_71AYc/mqdefault.jpg)
Thank you so much for this video. My gynaecologist wasn’t very informative about what to expect and this definitely made me more comfortable
Same here. I Don't know why doctors are not so informative
Thank you so much about this informative video
It's helps a lot
GoD BLESS YOU
You are very welcome! So glad it was helpful!
-Dr. Dervaitis
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
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.
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 💞
Glad to hear you found the video helpful! Hope you’re staying safe as well.
All the best,
Dr. Dervaitis
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.😀
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
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
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
How long did your bleeding last
@@alexislove1995 hey how long did your bleeding last
@@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!!
Cramps 😭😭😭 I am having bad cramps especially in the afternoon.
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
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.
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.
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!
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
How do you like Kyleena?
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
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?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
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 :)
How long did you bleed, l put it about 2weeks back
@@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
Thanks. I got mine 3 weeks ago and have bled non-stop. Even though it is light. I hope it’s fine.
You have a gift of giving good advice in a calm way. Subscribed
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.
Glad you’ve found the videos helpful!
Thank you for putting up this video! I got mine 2 weeks ago and was starting to get worried lol
Got my paragard today. I'm so glad you have these videos. I keep having irrational thoughts.
Glad you are finding the videos helpful Kelsea! 😊👍-Dr. Dervaitis
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 ?
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!
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
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
Thank you for the video! I was recently diagnosed with hyperplasia with atypia. Got mirena 2.5 weeks ago. First week was spotting but for past 1.5 weeks it’s heavy bleeding. I don’t see my gynaecologist until Oct 9th and I hope it’s normal
I am getting mine done on Monday and your videos have been a huuge stress relief for me and my mind! 💝
So glad you found the videos helpful! Thanks for watching!
-Dr. Dervaitis
Thank you so much im getting the IUD tomorrow im so nervous i hope my bleeding and blood clots go away soon
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
Glad you found the video helpful! Thanks for watching!
-Dr. Dervaitis
I am soooo annoyed with the spotting. Go exercise- spotting, stand up- spotting, thinking about a man- SPOTTING.
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
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
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
And I believe it gave me a false positive like many others because no other test have been positive. However still no period 🤦
There is a
@@dr.kristinadervaitis789 Will do, thanks Dr. Dervaitis!
Very helpful!! I had mine inserted about 5 months ago and had questions about the continued bleeding. Thanks!
I got mine 4 days ago and it hasn’t subsided. When did it stop for you?
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
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
What side effects can i get if i switch from using depo(7 months) to a hormonal IDU
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
I was so concerned about my bleeding, my doctor didn't go into too much detail about the aftermath of having the Cooper IUD. Thankfully my bleeding stopped at day 5 from insertion. However, I'm still having cramps, and I sit for long periods of times. I find that my left side ovary/uterus is very tender and in discomfort. I worry about the IUD perforating my uterus (I think I'mbeing paranoid). Maybe, if you do a video similar to the bleeding but this time about cramps, pain and shifting of IUD, or debunk the miths, please!😟
How are you feeling now?
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.
Did the bleeding stopped? I am going on my 4th week of spotting
@@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.
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 :(
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
Hi .. Dr. Does the IUD cause back pain?
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
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
Thank you for your informative videos! Really helpful for me since I just got my IUD last week.
thank you for this video, you gave me more information over a video than my doctor in person
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
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!
Hi there. Is it possible to have a missed period on the copper IUD even though you have abstained from sex ?
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
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?
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
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’
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.
Thank you for sharing your experience with the viewers of this channel!😊
-Dr. Dervaitis
I hope that's me too soon. ❤
You're a lifesaver, ty!!
Ugh. I’ve had an iud for about 6 months and have had horrible luck. Heavy bleeding for about two weeks at a time with severe debilitating cramping. I tried to hang in there as long as I could because everyone else I know who has it loves it. On the pill I use to get very light bleeding for about three days and pain the say prior to my period and the first day. I’m finally getting it removed this week. thank you for all your information!
Sorry to hear this, but glad you found the video helpful.
All the best,
-Dr. Dervaitis
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
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
@@dr.kristinadervaitis789 Thank you
I had harmonal IUD (Mareena) inserted 4 days ago, during 3rd day of the period. So far no issue of extra bleeding or prolonged periods, infact it remain same as before. Just finished now. No cramp, no headache etc. So far.
I was scared before. Hope it goes well afterwards too.
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
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👍🏼
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
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❤️
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 ..
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
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.
So glad you found the video helpful!
All the best,
Dr. Dervaitis
Thank u, i’m half way through this video and answered all my questions
Annoying is right🤦🏽♀️ I want the bleeding to leave me alone
Hi, may I know if you are still bleeding? I got mirena 3 weeks ago and I have been bleeding non stop
Same here want the bleeding to stop
Me too
@@moneychin7944 me too
I’ve been bleeding for 6 weeks straight non stop heavy blood with clots is this normal???
thanks so much for this video! it was very informative. so it sounds like spotting or "in-between" bleeding is more rare?
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?
Glad you found the videos helpful.
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Hello, Dr. Dervaitis, this video is so useful I clicked Subscribe right away! I am glad I landed on it! I am going on vacation with my husband in 3 weeks and I got my period couple days ago, I am supposed to get my Paragrad (copper iud) when I get my period but I am hesitant to do it now because I don’t want to ruin the vacation. Do you think I should wait after the vacation to get it? Although my period is very light you could call it spotting. I also want to ask if the bleeding continues for a long time after insertion with women of light periods?
Thank you again!
I can’t really answer this question, there’s no way to predict precisely how much bleeding a patient will have (or for how long) after an IUD insertion. Refer back to the video for general information about post insertion bleeding. Glad you found the video helpful!
-Dr. Dervaitis
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.
crazy4kawaii!! Glad you found my video helpful! :)Dr. D
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.
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?
Hello-
Not every patient experiences heavier bleeding with a copper IUD, each patient is unique!
-Dr. Dervaitis
I just got my Kyleena (first ever IUD) 3 days ago and my cramping is pretty intense, much more than I have ever experienced!! Ouch. Probably an 8/10 at times, Advil helps. They do come and go and it is not a constant pain, so that is good news. I assume the adjustment period could be a few weeks until my uterus gets adjusted? No spotting or bleeding yet post insertion!
Hi how are you feeling a year later? I am experiencing the same as you and really want to know if this subsides... the bleeding I can cope with it's pretty light but the camping is messed up!
@@tamisfincher I gave it a good 6 months, but ultimately it was not the right fit for me. I couldn't get over the idea of having the IUD inside me lol. However, post insertion I didn't have any bleeding and was period free for the entire 6 months! Cramping went away after a week or two. I would've stuck with it longer if I wasn't such a worrier. I am back to taking the pill but progesterone only.
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
Thank you for this Dr! I had the copper IUD fitted about a year ago. In January I missed a period due to exercise and fasting, and since mid Feb I have been bleeding continuously for about 6 weeks! Spoken to my Dr who didn't seem worried, but is this normal? I have no pain, no discharge, no cramps, i can still feel the stings, nothing at all sinister...
I'm not keen to switch, as I really don't want the hormonal forms of contraception. So I'm trying to be patient.
The blood looks fresh, and at some point in the cycle there was some clotting which has now stopped! But i still have some mild bleeding.
I had literally no issues with it upon insertion and no issues for the first few months! But I have noticed continued bleeding after missing a period (after fasting/exercise - what I'm experiencing now is the 2nd occasion since having it fitted).
I'd truly appreciate your feedback!
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Thank you for this. I got Skyla a week ago, but have been experiencing horrible cramps. I typically don’t have cramps at all.
Hi Dr
Thanks so much for this video. I had my Mirena inserted 4 months ago (replaced my Copper T with Mirena) and I'm bleeding constantly but a light bleed. I had a dermoid cyst removed two months ago so not sure if my hormones are out of wack. I see you recommend using an oral contraception concurrently with Mirena. Does this usually help patients with the prolonged bleeding problem? I'm keen to request a script from my OBGYN. I used Tranic for 5 days and it didn't help at all so I'm wondering if OC will help at all? Thank you
Hello-
Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you discuss this further with your own doctor.
All the best,
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you so much Dr. Love and appreciate your video's. I saw gynae and she scripted oral contraception to help.
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.
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
What was the answer for this? Because it's happening here too
@@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
@@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.
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.
Glad it was helpful!
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
Thank you, I feel relieved to have watched this excellent video, I’ve had 3 polyps removed with myosure then mirena inserted and am 58 had 3 kids and thought all was well in menopause however I was wrong when heavy bleeding started up again
After my hysteroscopy and above procedures I’ve been shocked by more quite heavy blood loss and wasn’t prepared at all
Does what you’ve explained apply to me as well, in that will this settle over time ?
Glad you found the video helpful!
This channel is not intended to provide personalized medical advice. If you are experiencing prolonged or heavy bleeding, see your doctor.
-Dr. Dervaitis
Thank you. I was given absolutely no post op instructions
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 ...
Welcome to the channel! You are most welcome, thank you for your very kind words!
-Dr. Dervaitis
Hi Kristina,
First , thank you for your wonderful content.
I got my copper IUD fitted last Wednesday and I had cramps and bleeding for the first few days, which resolved after three days. However last night I had extremely severe cramps for about an hour with about 5 minute intervals between each. Today I am not having any cramps but feeling tired and a bit sore. I've also noticed a slight yellow/ brown discharge. Do you think this is something to worry about?
All the best
Hello-
Glad you have found the videos helpful.
This channel is not intended to provide personalized medical advice. If you are concerned about your symptoms, talk to your doctor.
All the best,
Dr. Dervaitis
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.
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
Dr. Kristina Dervaitis thanks for responding. I watched both those videos in their entirety you mentioned. Thanks again. 🙂
Thank u, my obgyn explained nothing to me at all. Ur video is fantastic. Just got one in yesterday for heavy bleeding causing anemia and I’m 43. Hopefully this helps my situation.
Glad you found the video helpful!
Very helpful video ❤
Thank you so much for sharing. It’s now been 7 days since I’ve had the mirena in and I already want it out. Still bleeding and painful cramping 😢 I only have it in to help managing painful and heavy periods. I want to go swimming next week, if I’m still bleeding can I use a tampon? (It’s the middle of summer time here).
There is not any solid evidence to say that tampons should be avoided after IUD insertion (although it’s been my practice to advise my patients to wait 3 weeks before using tampons because that’s the window of time where there is more of a risk of infection, albeit a very low risk).
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for the reply. It’s going to be 32c here tomorrow and I’m still bleeding, hopefully it will have eased by tomorrow. Can’t wait to be able to go swimming.
Hello mam. Your all lectures are very informative. Thanks for sharing! I am suffering from Endometrial Hyperplasia from 3 years. Which type of IUD will you recommend to me?
Please see video #31 which is all about using the hormonal IUD (usually Mirena or Liletta) for treatment of endometrial hyperplasia:
ruclips.net/video/cdwvf6RJq0M/видео.html
Hi Doctor! Thank you so much for this informative video. I got mirena insertion 1 and half mont ago. My bleeding stopped after 4th day of insertion. my first period after mirena insertion came early and now it's 21st days I am still bleeding. Bleeding is not very heavy and it's accompanied by mild cramps. Just wanted to know if it's OK?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Thanks so much I have it removed today an I have no problem or pain
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
Hi Dr. Kristina, greetings from Melbourne.
I’m Dona, and thank you so much for your informative very helpful videos. I’m writing to you to get some advise, I appreciate your time doctor.
I got a Mirena inserted at a submucosal fibroid removal surgery. After two days of surgery I got an infection and given antibiotics for ten days, but my VOG asked me to stop them on the fifth day.
It’s been four weeks now and I was recovering well upto 3rd week and had a little fast jogging(3rd Oct) as I was feeling good with no swelling, bleeding and pain, after 15 minutes I felt a pain on my left lower tummy and I headed back home, then my tummy significantly swelled after I got home,
it improved by the following Thursday, but next Sunday(10th Oct) and Monday whole day that left lower area had a continued pain(bearable), and light bleeding could be seen.
Dear doctor, my question is,
can the Mirena be touched the fibroid removed wound area and not healing that patch? and giving this trouble?
Shouldn’t there be a reason for this pain?
(Kind note: I am scheduled to see my VOG on 25th Oct to see the placement of Mirena.)
Dr. Kristina, any advice you could give me on this sudden pain and swelling, appreciate your time and I am very thankful.
Hi Dona-
Unfortunately this channel is not intended to provide personalized medical advice, and your very specific question is beyond the scope of this channel. Talk to your doctor.
All the best,
Dr. Dervaitis
@@dr.kristinadervaitis789 Thanks for responding Dr. Kristina.
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
Same with not because i don't want to have a baby Just because of my menstruation clot during my period that's why the doctor decided to insert merina now I'm having bleeding and cramping i hope i will be fine
i have taken out the mirena after 9 months, I kept bleeding 50% of the time. did keep getting cramps from time to time and then bleed. I prefer a heavy period over this cramps and blood all the time
what happens if you are heavy bleeding ? what will the doctor do ?
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!
Hi Dr! Your video really helped me. I've been having the Mirena, and I've had it for some years. But it seems like on my third year I started having regular periods again and very heavy, I have went to the dr and one told me it was normal for that to happen and the idu is never out of place, do you think I should replace it
Glad the video was helpful. This channel is not intended to provide personalized medical advice. Talk to your doctor.
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
.
Thank you for the helpful information. How is the bleeding compared to a period? When you first get the IUD? After a few months? I don't want to be bleeding all the time with an IUD, if it is going to affect my sex life. No point in the IUD than. Thanks.
During the 4-6 week adjustment phase the bleeding is usually lighter than a period, and sometimes just spotting or discharge (and some patients might not bleed at all). In a small number of women the bleeding might be heavier (like a period). If you are concerned about excessive bleeding, see your doctor.
-Dr. Dervaitis
@@dr.kristinadervaitis789 thanks so much!
My adjustment bleeding is driving me insane. 😭 otherdays its a lot. It’s been 5/52 and I really hope that by 6/52 it will stop completely
Thank you so much for your videos! They are very helpful and thorough. Also you just seem like a very kind doctor! Much appreciated!!
Thanks for watching! So glad you found the videos helpful!
All the best,
-Dr. Dervaitis
@@dr.kristinadervaitis789 how about a bit of bleeding after sex, l put it on the 29th of December 2020
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
I have had my period since April first and it still hasn’t gone away. And I have had it none stop and it hasn’t ending yet. Idk when it’s going to go away.
Same goes to me
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
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
Why is tampon not recommended for the first few weeks after the insertion please?
This is my personal recommendation to my patients and not a “hard and fast rule”. The highest risk window for infection is during the first three weeks after insertion, and so I think it makes sense to minimize foreign bodies in the area during that time (although I concede that there is not a particular study that has been done to address this issue one way or the other).
-Dr. Dervaitis
Thank you Mam for your videos. It is very informative. I have a question. I have Morena in 2018. After 4 yrs I am getting spotting because of physical stress of my work. I have checked everything like blood test, scan etc. All normal. But after travelling or long walking it is happening. Is it normal or to be worried Mam
This channel is not intended to provide personalized medical advice. Talk to your doctor.
I’ve had my Kyleena IUD for about 5 months now and every other time after intercourse I bleed for about a day or two. I don’t experience any pain during intercourse and I can feel my strings just fine. I’m not sure if it’s something I should be worried about or not.
Vic Veil maybe you should see your gynecologist
Hi Vic Veil-
Based on what you are describing, it doesn’t sound worrisome. But as I mentioned in the video, when I see a patient with this issue, I do an evaluation that includes infection screening. It might be a good idea to see your doctor for a check up if the symptoms persist.
-Dr. Dervaitis
Vic Veil thanks for your question. I am having the same problem I have a Mirena.
Thank you so much for your video! Very comprehensive and easy to understand. I got my Mirena almost two months ago. My spotting is finally starting to lighten up and I could tell where my period was last month through the spotting. I have not gotten my period yet this month. Should I be concerned about pregnancy or am I most likely in the 30% that don’t get periods anymore. I have my follow-up in a month and I was told not to worry about checking strings so I worry all the time about the state of my iud.
How did your follow up go?
@@L1ttlef0ot No problems at all! My iud is working fine and I still get very light periods. Sometimes they are so light that I barely notice them.
I just got the mirena 1 week ago today I hope that I am in that 30% of no more bleeding
I’ve had a copper IUD for 2 years now and I am seeing spotting in between periods . Is this something I should be concerned about ? I appreciate the response! Thank you!
This channel is not intended to provide personalized medical advice. If you are concerned, see your doctor.
All the best,
-Dr. Dervaitis
I am facing same problem. But spotting starts after 9 months of insertion copper iud. Going to see dr tomorrow. May be take it out😢
I have the paraguard placed on June 18 it’s July 20th and I’ve been bleeding ever since. I’m
Passing blood clots. I woke up in a pool of blood and passed out. Doctors won’t remove it since my body needs to be adjust it. I’ll remove it myself.
Hello Dr. Kristina, I asked a doctor about the copper IUD and he was talking to me about sizes? He said if the wrong size is inserted, it may not work.
I have never heard anything about sizes when it comes to IUD's. Do IUD's have sizes?
Several IUD companies have marketed a slightly smaller IUD geared towards patients who have not yet had children. They may be somewhat easier to insert in these patients (although it is also possible to use the “regular” sized IUD’s). The smaller version of the hormonal IUD available in Canada is Kyleena (5 years). Some of the smaller copper IUD’s may only be effective for 3 years (check with your doctor when discussing which particular IUD is prescribed).
-Dr. Dervaitis
Doctors if you are unable to provide this information, at least provide links to this channel.
Glad you found the videos helpful!
-Dr. D
Thank you so much for video...I had my copper iud after 10 days of menstruation 3 days back and soon after insertion I had bad cramps and lower back pain and continues spotting..and mucus like thing and sometimes there's not blood but too much amount of clear water that wet my underpants and jeans.... feeling uncomfortable...
Make sure to have a follow up check up to rule out any infection possibility, though I know this comment was posted 3 months ago, so I hope everything worked out for you
Got the same experience
Hi Dr. Dervaitis. I am actually one of your patients. :) I'm 54 and have had a Mirena IUD for 3.5 years. I have had blood (erythrocytes) in my urinalysis a number of times over the past 2 years. I just had a workup done to be a living kidney donor and I was disqualified due to erythrocytes in my urine even though I was not menstruating. Could the IUD be causing this? Thank you.
Hi Leanne-
The IUD does not cause hematuria (unless someone is having menstrual vaginal bleeding that gets into the urine and causes a “false positive”.)
It must be frustrating to go through the difficult decision making process of deciding to be a kidney donor (what a generous gift!) only to be disqualified. I’m sorry to hear this. Most importantly, I trust that you will have further investigations/work up for your hematuria.
All the best,
Dr. Dervaitis
@@dr.kristinadervaitis789 I hope so but my family doctor has not been concerned in the past...
Hello thank you so much for uploading this video it did help a lot! I did have a concern about my IUd . About a month ago I had it placed and I'm been bleeding with small blood clots? I was wondering if that's normal ?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Thank you so much for this video, this is my first time with an iud and I’ve notice since I got my first period I have been bleeding since which is going onto almost two weeks how long will this continue for everyday? It’s very light but still
This channel is not intended to provide personalized medical advice. If you are concerned about your bleeding, talk to your doctor.
-Dr. Dervaitis
This is my current situation.
Hi! I wanted to know what periods are like with copper IUD? I have heard from different people having heavy monthly periods and others saying they have monthly heavy periods mixed with spotting brownish/ pinkish periods
Many (although not all) patients with a copper IUD report heavier periods that may be associated with more cramping. There can be some breakthrough/ irregular bleeding- particularly in the first 4-6 weeks after insertion (as things are adjusting). Please see video #7 and #11 for more info.
-Dr. Dervaitis
I'm really stressed about deciding whether to try an iud or not. I started using birth control due to incredibly heavy periods, and so far nothing has really worked. I'd say I've been bleeding daily for the past year and a half (I'm on iron pills don't worry), and have tried every pill variety that my doctor thinks is good for me and the depo. The depo shot has increased cramping and bleeding tremendously and it isn't slowing down. My doctor thinks that the next step is an iud, however, I'm not gonna say my age but, I'm very young. There is a doctor that she knows who specializes in placing iuds of young girls who haven't had sex or given birth. But I'm really worried about the pain and whether or not it's gonna work for me. So far it feels like nothing is working no matter how much time I give it, what if I go through this procedure and it just ends up being like everything else after several months?
Hi Lee-
I’d recommend that you watch video #6 “IUD Insertion Step by Step”. In it, I explain the procedure (and that it’s not necessary to have had children or even intercourse ever prior to insertion). I have placed IUD’s in adolescents as young as 14, and many MANY who have not yet been sexually active.
I can understand your frustration at the thought of trying yet another treatment without success. Unfortunately, there is not any way for us to predict what response any given patient will have to the levonorgestrel IUD. However, statistically, most patients notice an improvement in their bleeding (it tends to work well because the medication is delivered directly to the lining of the uterus where it needs to do its work...)
Best wishes,
Dr. Dervaitis
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?
Is continuous heavy bleeding normal 2 weeks after insertion? Is it normal to pass clots as well? Thanks.
I think I missed responding to this question earlier, my apologies.
Bleeding can sometimes be heavy immediately after an IUD insertion, but it’s not typical. Sometimes it depends on how heavy your cycles are prior to the IUD insert (and what time during your cycle the IUD was inserted). If the bleeding doesn’t slow, I’d recommend that you see your doctor.
-Dr. Dervaitis
Dr. Kristina Dervaitis I’ve had my IUD for about two months now and I started bleeding a day after it was inserted. Now two month later my period seems to come every two weeks and last for two weeks lol so I only have about two weeks out of the month . I’m gonna see how it goes through the next two more months to see if it changes but if not I’m going to have it removed . A friend of my family’s just went to have hers removed and they can’t find it . This is very scary to me .
Hi-
Generally speaking, “adjustment phase” bleeding can sometimes last longer than 6 weeks (sometimes up to a few months) and the amount can vary. Having said that, I unfortunately can’t give personalized medical advice over the internet (since I am not your physician and don’t have all of the relevant information or the ability to examine you...) If you are concerned, you should see your doctor.
Regarding your friend’s situation and any possible difficulties with IUD removal.... I’d recommend that you watch my video #13 (about IUD Removal) for more information.
-Dr. Dervaitis
Dr. Kristina Dervaitis Thanks for responding .