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This question was answered on Tue 11, Nov 2008 05:17am by Dr Bhupinder K, MD
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I have an IUD and have missed this months period. Now I am cramping and have dark brown discharge with blood.



Asked by Unregistered (Female; 21; USA; n/a; Relevant drugs:I have an IUD (Mirena) ) on Fri 01, Aug 2008 11:53am :

I had an IUD put in about 9 mths. ago and have had no problems. Now, I have missed my period this month and have been cramping really bad (1st day was worst) and have had dark brownish discharge with some blood coming out. I don't know if I am having a miscarriage or what? Could you please help me?
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Answer by Dr Bhupinder K, MD (doctor) on Tue 11, Nov 2008 05:17am:

Hello, It looks like you are having pelvic inflammatory disease(PID).Intrauterine insertions are an important cause of irregular bleeding as well as PID. Pelvic inflammatory disease is an infection of the uterus, fallopian tubes or ovaries.It occurs when bacteria move upward from a woman's vagina or cervix to her uterus or fallopian tubes.Many organisms are responsible for PID,gonnorhea and Chlamydia being the commonest ones. PID is also responsible for irregular menstrual periods, spotting or cramps throughout the month.IUD like mirena has rare chances of failure so I feel that pregnancy is not possible although you can have a home based urine for pregnancy test to put an end to your fears. I sincerely advise you to consult a gynecologist and get cervical swabs and pelvic ultrasound done to find out whether PID is responsible for your symptoms. In some cases, a laparoscopy may be necessary to confirm the diagnosis. Treatment will depend on the confirmation of the diagnosis. Hope it helps.Take care and pls do keep me posted if you have any additional queries.

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