Bleeding outside of periods with a copper IUD: normal?

What are the causes of bleeding outside of periods under the IUD?

Copper causes a inflammation of the endometrium, the mucous membrane that lines the uterus, which blocks implantation in the event of fertilization. This inflammatory phenomenon can, in certain cases, be responsible for bleeding outside of menstruation. The copper IUD can also cause menorrhagia (very abundant menstrual flow and lasting more than 7 days) and dpain during menstruation. “Bleeding that occurs outside of periods under the IUD may also be the signs of an ectopic pregnancy : the fertilized egg does not implant in the right place, which can cause serious complications (rupture of the fallopian tubes, intra-abdominal bleeding). This type of bleeding may also suggest a fibroid, polyp or cervicitis (inflammation of the endometrium)“explains Dr. Caroline Verhaeghe.

What are the symptoms associated with bleeding outside of periods under the IUD?

Bleeding that occurs outside of periods under the IUD can accompanied by pelvic pain. When a fever is associated, an infection is probably in question. In any case, it is recommended to quickly consult his gynecologist.

Who and when to consult?

It is advisable to consult your gynecologist when bleeding occurs repeatedly, whether accompanied by pain and/or fever.

What is the treatment to stop bleeding outside of periods under the IUD?

“If it’s about light bleeding (spotting), no treatment will not be necessary. Conversely, if they are abundant, they are accompanied by pelvic pain and that they are recurrent, it is necessary to consult your gynecologist to re-discuss contraception and practice Additional tests if necessary“, says the gynecologist.

Thanks to Dr Caroline Verhaeghe, medical and obstetrics gynecologist at the CHU d’Angers.