31) IUD Perforation/ Migration: A Very Rare Complication (Talking IUC With Dr. D, @dr_dervaitis)

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IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for 8 YEARS use for contraception. When treatment of heavy menstrual bleeding is the primary indication, best results are usually seen in the first 5 years. Kyleena (19.5mg) is still 5 years. See video #35 for info on copper IUD extended use.
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Dr. Kristina Dervaitis, a gynecologist in Newmarket, Ontario (Canada) answers your IUD questions.
In this video:
What does it mean to experience an IUD perforation?
How often does this happen? (Very rare- 1/1000)
What are the risk factors?
What are the symptoms of an IUD perforation?
How is it diagnosed?
What are the next steps? How is it managed?
What are the options for future contraception?
Will IUD perforation have an impact on future fertility? (-No!)
For more information about contraception, I recommend the official sexual health website of the Society of Obstetricians & Gynecologists of Canada (SOGC): www.sexandu.ca
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western University.

Опубликовано:

23 июл 2024

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Комментарии : 202

@elfishawol4506 3 года назад

I have had my IUD for two years and just been told mine perforated. This has been a very all encompassing video and made me feel extremely relaxed about this stressful situation. I hope I can get it taken out soon! Thank you so much for this video!

@dr.kristinadervaitis789 3 года назад

I’m sorry to hear this, but I’m glad you found the video helpful! All the best, Dr. Dervaitis

@amandamendoza4181 3 года назад

I’m experiencing this problem right now. Thank you fir this video. Helps to ease the fear.

@desirelopez9140 2 года назад

This video was so helpful and informative. I had my first IUD (mirena) perforation 3 years ago where my IUD became embedded in my uterine wall. (This had no pain, only realized once I tried to have it removed and the OBGYN was unable to, and scheduled me for surgery). I just had my SECOND perforation yesterday after several days in the ER. I couldn’t stand up without needing to faint, had intense pelvic pain, hemorrhaging, and a swollen cervix. This time my IUD was embedded in my cervix, and the OBGYN also said she had to scrape my cervical tissue after removal and clean up all the dead tissue that was there. This was an extremely painful experience even now in recovery. I know after second IUD was placed 3 years ago, the doctor did a follow up a month later and my IUD was in the correct position. Is it common for them to move on their own? I asked the OBGYN on yesterday’s surgery if this would effect fertility, and she said “I don’t know honey that is up to god.) 🤦🏻‍♀️ the last answer I wanted to hear from a professional… so your reassurance was extremely comforting as I’m only 24 with no children. 😭

@dr.kristinadervaitis789 2 года назад

So sorry to hear about your experience (but glad to know that you found the video helpful). Most perforations occur at the time of insertion, but there is a (very small) chance of an IUD moving or shifting after the insertion (or even after the 1 month check). Most procedures to deal with this situation would not effect future fertility (although I was not the surgeon in this case and so can’t comment more specifically). -Dr. Dervaitis

@sweetcookiecrush 2 года назад

I NEVER HAD A MISCARRIAGE BEFORE THE IUD BUT AFTER IT I DID AND MY IUD HAD BEEN OUT OF ME FOR ABOUT 2YRS. I HOPE UR BODY HEALS AND ARE ABLE TO HAVE CHILDREN IN THE FUTURE. I DO NOT RECOMMEND IUDS TO ANYONE!

@desirelopez9140 2 года назад

@@sweetcookiecrush thank you! I’m so sorry that you experienced that and I truly hope there is no direct correlation to the IUD. It’s been 7 months without the IUD (no other BC, no protection) and I have been actively trying to get pregnant with no luck (yet.) but I’ve had tons of other random pains in that area. I try and tell everyone I know to stay away from the IUD it’s a nightmare.

@cydneygallagher2668 3 года назад

Stumbled upon your vid and thankfully it relieved some of my anxiety. Sadly I have to wait for elective surgery to open again, but you explained this much better than my obgyn.

@nrelaxationtherapy3266 2 года назад

Thank you for covering the various topics and providing us with this detailed information Especially for Free.. you are Awesome and greatly appreciated. It was hard finding information on The IUD and being able to provide an explanation on what, where, why’s and how the procedure can be done if you are experiencing any of those problems. I have had mi for 12years !! Getting it taken out this month and replaced!! Go Paragaurd Thank you

@dr.kristinadervaitis789 2 года назад

You are most welcome! Glad you found the videos helpful! -Dr. D

@nigistm9227 4 года назад

Hello Dr, your videos and suggestions were so helpful for most of us so I would like to thank you. My question is that it's been like 8 months but I sometimes get small brownish discharges, is it something related to the iud or what? Other things like my health... Are very okay.

@dr.kristinadervaitis789 4 года назад

Hello- Glad that you found the videos helpful!Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you watch video #7. If you have concerns, talk to your doctor. -Dr. Dervaitis

@liaxiara2921 2 года назад

I had a Paragard IUD for 10 years. When I went to have it removed I discovered it was embedded. The first doctor couldn't remove it at all and called another one over who gave me an injection for pain and dug around for several minutes before managing to remove most of it. However, one of the arms of the IUD with the copper coiling is still inside of me. Is it dangerous to leave it there? It seems like surgery would be the only way to remove it and would be quite invasive.

@myamygdala22 2 года назад

Thank you so much for this informative video!

@kaiwolff442 2 года назад

.....yours is the ONLY vid I've found that even MENTIONS partial perforation and not until two minutes at the end as a dismissed "subtopic". I am having serious pain and am in line for appointment with a gyno ...but there's very little info out there on partial perforation YEARS after insertion. I'm so frustrated

@kennianamonje2381 4 года назад

I love my liletta iud! Ladies do not make the same mistakes as me. I had one kyleena and 2 mirena iuds taken out because of horror stories. The iuds never caused me any serious side effects. The iuds caused me no problems. Don't read the horror stories. I am not doubting the women who say iuds caused them problems but there are a lot of women who have no problems with iuds. I made a appointment to get a liletta iud inserted at planned parenthood and my liletta iud was inserted on July 21,2020. Not everybody will get acne from iuds. If you do get acne spirolactone helps but you need to be patient.😊😀

@davidsaenz9611 4 года назад

thank you so very much for your videos!

@dr.kristinadervaitis789 4 года назад

You are so very welcome! Thanks for watching! 😊 -Dr. D

@rachierawrz 4 года назад

Hey there! Thankyou for your video, it's really helpful. I've had my mirena for 2.5 years now and about 4 months ago I started having light spotting every month to eventually a full period. I went to Dr's and they've said its missing and I have a scan next week to try to find it. If it was inserted correctly, how else would it have perforated? It seems odd that such a blunt object could go through the organ. Thankyou again! Xx

@dr.kristinadervaitis789 4 года назад

Hi Rachael- Best not to speculate at this point, your scan will help to distinguish a perforation versus expulsion situation. I can’t give personalized medical advice over the internet. Generally speaking I will say that delayed perforation (ie, months or years after insertion, versus at the time of insertion) is very rare but has been reported. All the best, -Dr. Dervaitis

@lunaroserowanstrength2046 3 года назад

did u figure out what was going on? wishing you the best

@amandalovesmusic 3 года назад

Did you figure out what happened?

@soulotruth9318 4 года назад

I had Mirena placed back in 2008 after giving birth to my son. I went through all worst side effects from abdominal pains, pelvic inflammation, foul odor (fishy) discharge, water discharge, nervousness, chills, fever etc... due to not having health insurance for 5yrs I wasn’t able to go back and get it taken out right away. After getting it when I moved back to my home state my OBGYN doctor told me the IUD was inserted wrong and I now have Pelvic inflammatory disease with heavy periods for months. Now I’m anemic, anxiety and I have heavy water discharge and randomly fishy smell is released from the vag. I don’t know what to do anymore!! Do you think a hysterectomy will help relieve my symptoms?

@dr.kristinadervaitis789 4 года назад

Hello- Sorry to hear this. Unfortunately, this channel is not intended to provide personalized medical advice. I’d recommend that you discuss things further with your doctor. -Dr. Dervaitis

@Leahv103 2 года назад

Ive had mirena's for about 9 years. My current one i've had for 4.5 years. For the past couple of months, ive been having spotting between periods. I started cramping around my last period ( I was thinking it was bc of my period.. ) But the cramping has been coming and going for a month! Only on my right side! Does this sound more like an ectopic pregnancy, perforation, or more like a cyst? I know I need to get it checked out, but don't have health insurance so I am kind of just waiting it out for now until maybe it goes away

@dr.kristinadervaitis789 2 года назад

This channel is not intended to provide personalized medical advice. If you are concerned about your symptoms, see your doctor.

@ruth0929 2 года назад

When the Mirena is removed it caused a lot of bleeding , is that a normal period or withdrawal bleeding? Thank you!

@zohjahdavis459 3 года назад

Dr. I have a question, I got an copper iud 3 months after giving birth and it fell out right after but my doctor at the time replaced it but a year ago i went to a next doctor and they told me they couldn't find it and I'm guessing its still there should I have been worried to why they can't find it?

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice, I’d suggest that you pose this question to your doctor. -Dr. Dervaitis

@eva-lily9324 2 года назад

Hello, I was wondering if you have a video in which you explain how the IUD stays in place? I really want to get the copper IUD, but I am scared that the IUD will move or even fall out during a workout or other movements like dancing.

@dr.kristinadervaitis789 2 года назад

The design is such that it is securely held within the uterine cavity- the “arms” of the T only collapse (in a way that the device can fit through the cervix and come out) when one directly pulls on the string (such as at removal). Vigourous activity does not affect IUD position. -Dr. Dervaitis

@bbsellers830 3 года назад

Could it be possible for a Mirena to be partially perforated? As in part of the IUD is still visualized in the uterus, but the other part coming out of the uterus?

@dr.kristinadervaitis789 3 года назад

Partial perforation is very uncommon but theoretically possible (most commonly a perforation is complete and occurs at time of insertion). -Dr. Dervaitis

@carmelitadomasin6554 4 года назад

I have a question Doc any moving example in working land i carry heavy the iud is not easy to falling down

@dr.kristinadervaitis789 4 года назад

Hello- There are no restrictions on activity or heavy lifting with your IUD, it won’t fall out due to hard labour or exercise! -Dr. Dervaitis

@carolinahuerta5682 4 года назад

I’ve been working out on abs and out of nowhere I got a terrible staving pon on the right side surround my hip and now I can’t do most an workout and when I sit or get up or just use my abs it hurts. I called my obgyn and they are booked till sep Idl if I should go to the er

@dr.kristinadervaitis789 4 года назад

This channel is not intended to provide personalized medical advice. If you are concerned about pain, see a doctor. -Dr. Dervaitis

@SydneyTheSinger 2 года назад

Hi Doc, I know you can’t give medical advice online. I got an IUD about a month ago, the pain was terribly intense and came in waves for about a week. It got to the point where my side, hip, back, and thigh were radiating. I went to the ER and they did an ultrasound. They said nothing was wrong and they can be uncomfortable and I should tough it out. I’m now experiencing this again, but on the opposite side, is this a normal side effect?

@dr.kristinadervaitis789 2 года назад

This channel is not intended to provide personalized medical advice. None of the symptoms you describe are typical post IUD insertion. See your doctor. -Dr. Dervaitis

@amandalee2665 3 года назад

How would i know if the mirena shifted? Would it feel sort of like a tampon not inserted all the way or would i just feel painful cramps and bleeding?

@dr.kristinadervaitis789 3 года назад

Please see also video #24 about IUD expulsion. See video #27 to learn about checking your IUD strings. See your doctor for a routine post insertion follow up appointment to have the IUD position checked. -Dr. Dervaitis

@chrisdavin8494 2 года назад

My missing iud was found 17 years after insertion attached to my large intestine and omentom. I had 2 pregnancies with it there unbeknown to me as the doctor had told me that I had expelled the iud. He only gave me an ultrasound on my uterus and didnt look further into the abdomen. I still have the X-ray of the iud in my abdomen as it was found after I complained of pain. I underwent major surgery to have it removed.

@bethanygreenwood8655 2 года назад

If my strings are so long that they stick out of my vaginal opening, is this an indication it may have moved? I had very heavy bleeding, clotting, and cramping post-insertion and when I first checked my strings after a few days I felt it stabbing me and noticed how long they were.

@dr.kristinadervaitis789 2 года назад

Generally, the strings should not protrude out of the vaginal opening. If you are concerned about the position of your IUD, see your doctor (and use back up contraception in the interim). -Dr. Dervaitis

@Ssophiiaa0 2 года назад

Hi Dr, I got my iud in November the doctor who placed it told me the iud was lower than she would of liked it to be but she left it how it was. Should I get it reinserted and is there any risk with leaving it as is?

@dr.kristinadervaitis789 2 года назад

Unfortunately I can’t comment specifically on your situation without having the opportunity to view any imaging or to examine you (and this channel is not intended to provide personalized medical advice.) Speaking generally, if a hormone containing IUD is slightly low in the uterus, it is still functioning. Precise positioning is more critical with copper IUD’s. -Dr. Dervaitis

@pauleshannon3863 3 года назад

Thank you for the video. Please how does partial perforations works? Can we feel any pain from it ? Can you make a video on it please? Thank you

@dr.kristinadervaitis789 3 года назад

Please watch the video at 23:33 where I discuss partial perforation. As I mention, each situation is based on the individual and there are a number of variables that make it difficult to generalize (or do a separate video). If you have questions about your particular situation, talk to your doctor. -Dr. Dervaitis

@jamilehsayegh4231 3 года назад

I have an Appointment to insert iud liletta i am going to do hysteroscopy d&c for endometrial polyp removal is it gonna help with hormonal imbalance and iron deficiency???

@dr.kristinadervaitis789 3 года назад

If iron deficiency is secondary to heavy menstrual bleeding (and bit some other cause...) the levonorgestrel IUD may help because it tends to decrease menstrual blood loss in 90% of patients. ( Please see video #19 & 20). -Dr. Dervaitis

@nataliehartsoe7795 3 года назад

I was in so much pain my doctor thought I had this but it was a response to the pain and I was fine

@pandacorn1214 4 года назад

Ok my iud has flipped upside down (got xrays done on my hips) will it be ok?

@dr.kristinadervaitis789 4 года назад

Unfortunately I can’t give personalized medical advice (and certainly without knowledge of the details of your case or ability to review your imaging). You’ll need to speak to your doctor. -Dr. Dervaitis

@animajones5495 2 года назад

I had to have my IUD removed after 7 days of insertion, my Dr tried to find my IUD by trying to find it without ultra sound and looking internally, the Dr came to the conclusion that my IUD was retained as he could not see the strings and i was booked for surgery the following week. They spent 15 min in the operating room to search for it and while waiting in the recovery room i was told by my dr that my IUD was removed and to go home as i didn't need to worry about the IUD anymore. However i come to find out 8 years later that my IUD was still inside me and it had perforated inside me for 8 years and had perforated my uterus and bowel. They did not use any x ray imaging or ultrasound in the operating theater. Is this the correct procedure, as in this video, you mentioned once IUD is suspected of being retained, the next step is to do an xray to find the IUD before the surgery.

@dr.kristinadervaitis789 2 года назад

I’m so sorry to hear that you’ve had this experience. This channel is not intended to provide personalized medical advice, and without knowing the precise details of your case I cannot comment. I’d recommend that you pose these questions to your doctor. -Dr. Dervaitis

@janetasarebediako1888 Год назад

Doc. My Iud has perforated for 3 year now. My stomach is bloating and has become heavy and its weighing me. My uncle also swelling and very painful. Could this be because of perforated or not

@Blueyetiasmrsound 3 года назад

@Dr_dervaitis I have a question I want to know cuz I had my mirena removed on March 4 2021 by my doctor but couldn’t re insert new one do to my weight and cervix was far also tried 3 times can they try again on next appointment cuz I don’t want no nexplanon please let me know

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice. Talk to your doctor about your options. -Dr. Dervaitis

@Blueyetiasmrsound 3 года назад

@@dr.kristinadervaitis789 I did talk to my doctor and that’s what he said but I was telling the doctor that I don’t want nexplanon I want mirena if you talk about how the IUD is insert and complications then you can talk about how A doctor can reinsert on obesity women and how that would make sense

@dr.kristinadervaitis789 3 года назад

Yes, I can comment that generally speaking, obesity can make examining a patient and inserting an IUD more challenging/difficult. Since I am not your doctor, and have not had the chance to examine you and understand what exactly the problem was, I can’t comment any further. -Dr. Dervaitis

@yulitachapinsitavlogs1963 3 года назад

Hi doctor I just come back from the doctor and I have removed iud and put a new iud, while he was doing tha he performs my uteros I don’t know how tha happens but I was bleeding a lot and painful.. I’m worried that can leads to something worse.

@dr.kristinadervaitis789 3 года назад

Sorry to hear this. This channel is not intended to provide personalized medical advice. Discuss your concerns with your doctor. -Dr. Dervaitis

@lovelymoonlight1995 4 года назад

I have a question. I have never taken any form or birth control. I don’t have a primary doctor to ask either but I was wondering: which kind of iud should I get? Should I get the hormonal one or the non hormonal one. I am worried that the hormonal one will cause too many problems but I’m not sure. What would you advise?

@dr.kristinadervaitis789 4 года назад

Please see video #11 and video #10! -Dr. Dervaitis

@CL-fs3kt 4 года назад

Light This obviously isn’t a professional recommendation but just to share my story, I’ve been the Mirena IUD and as far as “side effects,” mine have been very minimal. I already suffered with acne and on the IUD, it actually got “better” (or I just got older), no significant weight gain, I did have slightly stronger cramps but that’s it!!! Hope that eased your mind a little!!

@lovelymoonlight1995 4 года назад

C L thanks! Good to hear some positive things about it!

@CL-fs3kt 4 года назад

Light And I’ve had it 3 years no trouble so far :)

@amandalovesmusic 3 года назад

Is there a bigger risk for mirena vs paragard? Is it possible to have a perforation months or years after insertion?

@dr.kristinadervaitis789 3 года назад

Most perforations happen immediately at the time of insertion, although there are rarer instances of delayed perforation.

@victoriapagan2169 2 года назад

So I just got a phone call about my iud has lowered in my uterus and I have no idea how or why

@linslylove7243 2 года назад

I am currently experiencing what you called partial perforation. I am scheduled to get my IUD removed dec 1st. I am very worried because my PCP brushed me off for months when I kept going back complaining about pain and a lot of other signes of this and it took me going to the Ed in pain for her to see what was going on. She said she won’t even touch me. The way she described it got me very anxious because she said they might need to take it out surgically but my OBGYN is gonna try to take it out manually. I am already in so much constant pain I’m scared of what it’s gonna feel like when the time comes to take it out..

@komrad7907 2 месяца назад

Hi were you able to get yours taken out manually? I've gone to 2 doctors and they told me I have to go under surgery, because it's moved up into the uterus😢

@bobbysweeney5377 3 года назад

If a patient that has had one in for over a year, has lite spotting or noticeable bleeding during intercorse consistently, has their period, and then 2 weeks later, notices abdominal pain, and then has bleeding that night like the start of another period, what could be potential causes of this?

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice. Speak to your doctor. -Dr. Dervaitis

@bobbysweeney5377 3 года назад

@@dr.kristinadervaitis789 So you can't say general potential causes?

@komrad7907 2 месяца назад

😢 Hi I'm in this situation right now...I have tried to get the IUD removed twice and the doctors have told me that I need to go under surgery, because there is no string, and it is moved up into the uterus. Do you know how risky this surgery is? Would this be a case in which a Laparoscopy is next, and how is scarring?

@dr.kristinadervaitis789 2 месяца назад

This channel is not intended to provide personalized medical advice, and I can’t comment on risks without an understanding of the particular situation. Talk to your surgeon.

@komrad7907 Месяц назад

@@dr.kristinadervaitis789 okay I understand

@VespaManInKorea 2 года назад

1 in a 1000 but happened to us :( The explanation about omentum as well as the flexible nature of the unit helped us feel better about this situation while we await over the weekend on how to proceed with surgical procedure that is yet to be scheduled. We had a terrible doctor that was clueless. Ultrasound was not visualized and we had to take an X-ray to confirm. Our next step is the CT scan to figure out its exact location and then surgical removal. Just frustrated that the doctor that did the IUD insertion was useless and I had to do the research myself. The explanation given in this video was SOOOO helpful in understanding what is going on and gave us a lot of comfort during this uncertain period where the medical professional we chose failed us. We truly appreciate the detail and in-depth descriptions. Thank you.

@dr.kristinadervaitis789 2 года назад

So sorry to hear this, but glad to know you found the video helpful. All the best, Dr. Dervaitis

@kennianamonje2381 4 года назад

I want to ask a silly question. I read on the internet that the estrogen or combination birthcontrol pills make you age slower and that people with hormonal iuds age faster. Do you think that's true?

@dr.kristinadervaitis789 4 года назад

Hi Kenniana- What?!!! Absolutely not true! I have NO idea where that “info” is coming from! -Dr. Dervaitis (PS- thanks for the Instagram follow! Tell your friends! 😊)

@kennianamonje2381 4 года назад

@@dr.kristinadervaitis789 I will definitely let people know that it's not true . I always trust your advice. I will let others know about your Instagram and RU-vid. I got a mirena iud inserted on August 27 but I made the big mistake to get it removed because of some acne that I got. I regret getting it removed because the gynecologist said the acne gets better and she said spironolactone helps . I made appointment to get another mirena iud inserted. But this time I'm not getting it removed unless I get a serious side effect.

@dr.kristinadervaitis789 4 года назад

Acne can be a frustrating side effect. 😕Fingers crossed that you have a better experience this time. In my patients who struggle with acne, I sometimes recommend that they try Kyleena instead of Mirena (slightly lower hormone than Mirena, although acne still a possibility). Good luck! -Dr. Dervaitis

@CL-fs3kt 4 года назад

Kenniana Monje LOL!! I’m on IUD and have never heard this 😂😂 They just want us to feel sooo bad about it

@preetgill6690 Год назад

Hi dr Kristina. I am in Brampton going thru some complications with my IUD. 3/4 weeks I am having issues . 2 days back gone for ultrasound and nervous what is next. But your video explains a lot. I am putting my strength together. God bless

@dr.kristinadervaitis789 Год назад

Glad you found the videos helpful!

@iyannaross88 2 года назад

Hello Doctor. I just wanted to share my experience and potentially get some feedback from you. I’m 22, I’ve had the Paragard for about 2 years. They warned me that I’d experience more cramping and heavier bleeding. However they didn’t tell me that although never experiencing contractions that I’d feel as if I could relate the amount of pain during my periods to what contractions could possibly feel like. THEY ARE HORRIBLE. I thought a little more cramping wouldn’t be that much to handle but my menstrual cramps have become 10x worse. And ALOT more bleeding. This started ever since the IUD was placed. I was always able to feel my strings until recently, I went in to get the IUD out after a lot of unnecessary denials and delays from doctors. I have had a friend who also couldn’t find her strings when she wanted it out but the doctors performed an ultrasound and with a lot of “digging” they managed to remove the IUD from hell. I mean the IUD. With that being said I am praying that I don’t need a surgical removal. Even though the strings aren’t visible for whatever reason, if they managed to get her IUD out with a lot of digging (and not surgery) can you explain how this could be done ? Does the doctor dilate the cervix ? Is this painful ? I’m just praying I don’t need surgery but if I do I’m also hoping I can still have kids later in life. They should take this form of birth control off the market. It’s horrible. Even if a doctor were to tell me that with a perforated IUD and the need to have surgery that future fertility wouldn’t likely be affected I have a hard time believing that. No offense to you as a doctor. If your reading this and your considering getting an IUD DONT DO IT.

@dr.kristinadervaitis789 2 года назад

Sorry to hear about your experience, this situation is not common. For those others reading this, each patient is unique and one person’s experience may not reflect what your experience may be. Contraception is about choice (choose what’s right for you). This channel is not intended to provide personalized medical advice. Please see video #13 for more detailed information about IUD removal when strings are not visible. -Dr. Dervaitis

@dimgian1221 2 года назад

Did you get it removed ?

@myeiahneville6025 9 месяцев назад

Yes I had the same exact thing, I’ve always had bad cramps. But these are not anything I ever experienced before, and I can say confidently that this type of pain was on the same level as birth contractions. I was fine for the first few days, but after that it was pure hell every day. I was also working a very active full time job at the same time of the pain, it got so bad that I had to leave early. When I was at home it was at its peak, and if you were my neighbor you would’ve thought I was getting stabbed to death by the sound of my screams. The first er I went to was local and of course they were full.. my dad rolled me in a wheelchair and some staff just rolled me in a empty room and left me there for like 25+ mins without any information as to when I can get seen or atleast even looked at. It felt like I was in the wheelchair for hours just screaming in pain, only after 30 mins gone by did somebody finally check on me. It was a male doctor telling me to be quiet and that I’m over exaggerating, when this is the most excruciating pain I’ve ever experienced in my whole existence. So I called my dad to come get me and we went back home because thankfully my dad gave me half a percasett which took so long to kick in and was not that strong, but atleast it got me thru the night. Same type of agonizing contraction pain the next day, but this time my dad took me to the ER a town over which is a way better one and bigger, and nicer people. They got me to a room immediately and got me on some pain medicine right away, and later did a vaginal ultrasound. The first five minutes of it really hurt but then the medicine was kicking in while the other nurse was holding my hand and talking to me, she also said my hands were really cold which is normal for me since I’m a bit thin and get really easy. It turns out the iud punctured my uterus lining and took it out asap, I had it for about a month and a half to two months. This all happened a year ago and nonstop heavy bleeding ever since, with the exceptional week where it lightens up or stops for a day or two. I can never get warm, and I am chilled to the bone all the time

@ljwismer6028 2 года назад

I got my IUD a little less than a month ago. I had a lot of pain with insertion that never went away and constant bleeding up until 2 days ago when I started just having chunks of tissue come out. Contacted my GYN multiple times and the RN just kept telling me it was all normal. The feeling that my IUD is stabbing me has never gone away. It has been constant severe pain to the point of vomiting. The RN reluctantly finally ordered an ultrasound and I found out that it has penetrated 6mm into the lateral myometrium bilaterally and is 2.5 cm below the funds endometrial lining. Does this mean it is embedded? Does it mean it can’t be removed normally? I had it put in due to bleeding through ultra tampons in 30min

@whitneylovesyuuh Год назад

I'm sorry this happened to you, I fear I may be in a similar situation it's been 4 weeks and I'm such a high amount of pain that I can't do anything. Were you able to get it resolved in the end?

@ljwismer6028 Год назад

@@whitneylovesyuuh I did end up getting it removed and when I saw my doc she acknowledged that my uterus was too small. When it was put in I had told her that previously I had issues because of a small uterus but she had assured me the size difference between the available IUDs wasn’t enough to make a difference.

@verag1620 4 года назад

Can a prior perforation lead to risks and/or poor outcomes once pregnant or giving birth?

@dr.kristinadervaitis789 4 года назад

In a straightforward perforation situation that was appropriately managed, there would not be any negative impact or risk to a future pregnancy and delivery. -Dr. Dervaitis

@Abaadgee 3 года назад

is there any harm when you have a fracture paragard arm above the uterus line

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice (and I can’t comment on this situation without knowing the full details, and without the opportunity to review imaging, to do an exam...) Talk to your doctor. -Dr. Dervaitis

@cheikhsene3554 3 года назад

All this apply to me breastfeeding postpartum I got iud immediately after i give birth and I can feel my iud strings I’m trying to get an appointment to see my Dr. but they can only do videos calls

@monalisaghosh6632 2 года назад

Is having severe cramping pain for 2-3 hours every day common after IUD insertion in first month?

@dr.kristinadervaitis789 2 года назад

The degree of cramping may vary. Most cramping is similar to period cramps and can be managed with over the counter analgesics such as Advil. If you are in severe pain , see your doctor. -Dr. Dervaitis

@juliannagibson2775 8 месяцев назад

Hi im 19 with 2 girls and i got my IUD put in oct 30th 2023 at my 6 week postpartum appointment once i had it the first 2 day i just spotted then had severe cramping i was told its normal and that id be ok then i began to bleed heavily which i was told was also normal and that it was just my period so i didn't ask more questions about 2 days ago i had sharp pains in my lower ribs where my kidney is on my left side an brushed it off this morning Nov 12th 023 at 2:20am i woke up to havimg really bad pains in my back and side but mainly my left side i told my self it was probably another muscle spasm but realized it wasnt the same and started to think i had another kidney infection the last one i almost caught to late and it almost spread to my blood so i went to the ER and im so glad i had a great ER Doctor and nurse they took a urine test and blood test to rule out kidney infection or anything elso and then took me to do a CT after some time they told me everything looked good on my tests except for the CT i was then told my IUD had made its way out and up to where my kidney is on the left side it is now 7:12am and at 8am i have to call to setup an appointment for tomorrow and go from there on how to get it removed ill make an updated when i get it removed but i was also wondering if it could cause any complications where its at right now or if it continues to move Update it is Nov 13th 2023 I have it removed and did go to a different hospital for a second opinion and they admitted me to get it removed because of where it was at and it actually moved and was half way through the fat surrounding my liver but they were able to get it out I was told that if I had waited like the other hospital wanted me to I could have more complications so I'm glad I listened to myself to get a second opinion im going to be using the patches for a couple years then try the IUD again hopefully with better luck then

@dr.kristinadervaitis789 8 месяцев назад

Thank you for sharing your experience and for the update. I’m sorry that you experienced this rare complication but glad that you trusted your instincts and sought out the appropriate care! Best wishes as you recover. -Dr. Dervaitis

@tinea.8516 3 года назад

Hi got my IUD inserted 7 days ago. Today my strings can be touched when I wash my vjj. Why did this happen cause?

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice. If you are concerned about your IUD strings or the position of your IUD, talk to your doctor. -Dr. Dervaitis

@pragooutube 4 года назад

I was told I have a tilted uterus... does that mean I may have a higher risk of perforation upon insertion? 🤔

@pragooutube 3 года назад

@@EsaChinita No, that's not right. My obgyn said it's not a problem, and I have the mirena in good position for almost 4 months now. 🙂

@dr.kristinadervaitis789 3 года назад

I agree! (Women with a “tilted uterus” or retroverted uterus are still candidates for an IUD!) -Dr. Dervaitis

@leilanifabay6946 6 месяцев назад

Hi.Is it possible that an IUD can cause the removal of the uterus.

@dr.kristinadervaitis789 6 месяцев назад

Although there can be very rare complications that are serious, I personally have not come across any case reports in the literature that have attributed the need for hysterectomy to an IUD complication. -Dr. Dervaitis

@emilyreynolds6699 10 месяцев назад

I had an iud perforation in the side but not through my uterus. I was postpartum when I got it placed. I found out when I went to get it removed. I had no extra pain to make me think it was an issue. It was more painful getting it removed but no issues besides that.

@dollyperalta588 2 года назад

Hello Doc.is it possible to see blood after peeing if u have use over2 years of IUD

@dr.kristinadervaitis789 2 года назад

This channel is not intended to provide personalized medical advice. Talk to your doctor.

@serenaperez5132 4 года назад

Hi Dr. Kristina, I would like to share my story regarding my IUD perforation/migration. I’m 19 years old, 3 months postpartum, and exclusively breastfeeding. I would like to update in the comment section as soon as possible. On April 14th, 2020 I had a Kyleena IUD placed and it seemed like everything was well. My bleeding stopped shortly after the insertion. I then suddenly started getting sharp pains on my lower left quadrant and I had heavy bleeding. I checked in with my OB this morning and they couldn’t find the strings or the IUD with an external ultrasound and internal ultrasound. After an X-ray and Cat scan, they found that my IUD was no longer in the uterus and is sort of upside down. The hospital sent me home and I have to go to my OBs office in the morning so the IUD can be removed via laparoscopy. I’m laying in bed worried with some pain here and there. I’m not a medical professional. I just wanted to share. If anyone has any concerns they should 100% consult with their doctor.

@serenaperez5132 4 года назад

I’m so glad that the laparoscopy doesn’t effect fertility!!

@dr.kristinadervaitis789 4 года назад

Serena- I’m so sorry to hear this. Thank you for sharing your story. I hope you found the video helpful. Your OB will guide you through the next steps. Good luck with the laparoscopy and maybe afterwards if you can comment again here and let my viewers (and me!) know how things went? All the best, Dr. Dervaitis

@serenaperez5132 4 года назад

Thank you for responding! Well, the IUD is still wedged in me somewhere haha. I’m scheduled for surgery tomorrow morning at 7:30am. It might have to be pushed off just for insurance reasons.. and Because I had a cesarean section, they might go through there instead of my bellybutton.. the procedure needs to be done at the hospital. Weirdly a lot of my pain has subsided and my bleeding has been minimum.

@serenaperez5132 4 года назад

Your videos have been very helpful.

@dr.kristinadervaitis789 4 года назад

I’m sure everything will go well and this will all be over with soon. Wishing you all the best, and a speedy recovery from the procedure! -Dr. Dervaitis

@ainamwayola1814 2 года назад

I had my iud inserted two weeks ago and the bleeding did not stop yet. Should I be worried?

@dr.kristinadervaitis789 2 года назад

See video 7 regarding what to expect with bleeding: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-KNI0uJSgLvs.html -Dr. Dervaitis

@lindswill4144 2 года назад

I've had mine for 1 month & 3 weeks. Started feeling severe pain in stomach & back for 3 days. Knowing I had an appointment 4 days later I just used Tylenol, but did not help did a self check & can feel it protruding thru my cervix & called doctor she said not possible im just feeling strings i told her no! I can feel the strings & the plastic pushing thru my cervix. she said just take ibuprofen & wait till my appointment for 2 more days. I tried to tell her I'm having pregnancy symptoms & severe pain I need to come early, but she said no & I'm freaking out. Just lost a baby & never had iud in my life & it's soo painful

@dr.kristinadervaitis789 2 года назад

If you are concerned about the position of your IUD, see a health care practitioner (it does not have to be the doctor that inserted the IUD- any walk in clinic, sexual health clinic or emergency room physician can help you). -Dr. Dervaitis

@morganlewis6161 3 года назад

Hey Doc! I've had my IUD for about 2 years now and never had an issue until I had laparoscopic surgery (for a shunt placement) back in October 2020. Since November 2020 I have been having strong/stabbing pelvic pain. I have seen every doctor and even had a colonoscopy performed to see where this pain is coming from and I have gotten no answer. Can a laparoscopic surgery have an effect on my IUD? All my pain is in my pelvis/vaginal area.

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice. Speaking generally, a laparoscopic procedure would not have any impact on IUD position or function. See your doctor for further evaluation of your pain. -Dr. Dervaitis

@rheaapuad6281 4 года назад

I just had my IUD Monday I'm experiencing bad odour in my pee and discharge also is this normal?

@dr.kristinadervaitis789 4 года назад

Hi Rhea- Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you see your doctor for further evaluation. -Dr. Dervaitis

@rheaapuad6281 4 года назад

@@dr.kristinadervaitis789 thanks doc. I went to new doctor and I came to know she told me having IUD without having yet a baby is not good what will be the effect on me to that?

@dr.kristinadervaitis789 4 года назад

Rhea, what you were told is FALSE and a myth. Women who have not yet had a baby can safely use an IUD. It has no effect on future fertility. -Dr. Dervaitis

@rheaapuad6281 4 года назад

@@dr.kristinadervaitis789 I decided to put an IUD because I'm a epileptic and the first doctor that I met saying that I have to prepare my body for my future plan to have a baby that's why I decided to put and IUD as many medicines I am taking now.

@jenniferdiaz2404 3 года назад

Hello doctor missed my period this whole month I got my pargard iud turn one year this April although took pregnancy test and they came back negative any thoughts ??

@dr.kristinadervaitis789 3 года назад

This channel is not intended to provide personalized medical advice. If you are concerned about about a missed cycle and chance of pregnancy, see your doctor. The chance of pregnancy with an IUD is 2-8/1000. -Dr. Dervaitis

@e-therealgirl3678 3 года назад

Same here. Except I have had my Paraguard in for 7 years. I don’t feel it at all anymore and I missed my period. I took a test and it said negative. I’m so scared idk what to do

@jimpuddle9155 2 года назад

Does a perforation only happen within the first instance or can it happen at any stage?

@dr.kristinadervaitis789 2 года назад

Most perforations occur immediately at the time of insertion, although there are rare instances of delayed perforation. -Dr. Dervaitis

@nailaosorio9867 3 года назад

My IUD is 3mm embedded in my myometrum on each side . Is it ok for my iud to be removed non surgically ?

@dr.kristinadervaitis789 3 года назад

Most IUD’s, even those partially embedded in the the myometrium, can be removed non surgically. In my practice, I would only book a removal in the operating room if I had already tried to remove the IUD in the office and was unsuccessful. -Dr. Dervaitis

@nailaosorio9867 3 года назад

@@dr.kristinadervaitis789 if the IUD is partially embedded and removed with forceps will this cause any damage , pron to infection or even be more painful ? I have an appointment for and IUD removal soon but I Am afraid of the pain and would just prefer to have mines surgically removed then trying with forceps first haha

@dr.kristinadervaitis789 3 года назад

No evidence to suggest any risk of those things. General anaesthesia has risks to consider. Review your concerns with your doctor. Good luck! Let our viewers and subscribers know how it goes👍

@susanar.3469 4 года назад

Dr. D does this mean then that the iud can't perforate the uterine wall by itself some time after insertion or could that still happen? Thanks for the video

@dr.kristinadervaitis789 4 года назад

Hello- There are rare reports of delayed perforation, but it is very, VERY unlikely and would be highly unusual. Most perforations occur at time of insertion. -Dr. Dervaitis

@EsaChinita 3 года назад

I can't feel my IUD strings at all unless I really dig in there, and I've had irregular bleeding for like two days at a time, it'll go away, then the irregular bleeding will come back.. My appointment is on Monday, wish me luck guys.

@andreasmedley1262 3 года назад

Have you gone? what happened? I am going through the same thing. I have to get mine removed Via in office hysteroscopy. I wish you luck!!!!

@LT.Bubbles 3 года назад

This happened to me. I had it in back in Feb. Never had a follow up appointment but was still heavily bleeding. I finally managed to get an appointment to remove it and the doctors couldn't find the strings. She couldn't see it at all and now thinks it's fully embedded inside me

@EsaChinita 3 года назад

@@andreasmedley1262a month ago on that Monday, my gyno was booked back to back for pregnancy appointments (cus ya know how people ain't got nun better to do than to be doin the hanky panky in these times of quarantine) so she didn't have time to remove it, she had her nurse do an x ray on me to see if it had migrated further or embedded or anything. It just migrated upwards and i can't feel my strings. It's not life threatening or unbearably painful, it just makes me feel like i'm being stabbed at times. Tomorrow is when i have a whole hour booked with my gyno to have the removal procedure. I also got prescribed Valium to ease my nerves lol.

@andreasmedley1262 3 года назад

@@EsaChinita Thank you for your feedback. I am getting mine removed in a couple weeks via hysteroscopy they said to take some pain killers as well to ease the pain. Wish me luck!!! I am scared

@L1ttlef0ot 3 года назад

@@EsaChinita how did it go?

@treasureblevins2895 2 года назад

Hey doc! I’ve been puking, cold sweating, lower back pain and having cramping but worse for around 3 weeks. I went to my doctor and she couldn’t find my iud, but she did find brow discharge on my uterus, what could this be??

@dr.kristinadervaitis789 2 года назад

This channel is not intended to provide personalized medical advice. Talk to your doctor or seek emergency care.

@bbunnz9792 3 года назад

I almost died from bad infection from Mirena and was hospital stay for a good week also diagnosed with pid. They only did ultra sound and didnt see it and never looked any further. I am so positive it never fell out this was 12 years ago and had abdominal problems ever since like cervical cyst ect. I had my son 4yrs ago so its def possible to conceive after complications and was normal vag delivery. I cant help to wonder all these years though if its gonna cause a problem and show up one day!

@dr.kristinadervaitis789 3 года назад

I’m so sorry to hear that you experienced such a rare and serious complication, but glad to know that you recovered fully and had a successful pregnancy! All the best, Dr. Dervaitis

@bbunnz9792 3 года назад

@@dr.kristinadervaitis789 thank you so much for your kind words! It was truly a miracle thank God!!! I dont know what would have happened if wasnt here for my children! Thanks again doc for taking the time to read my story.🙂

@rheaapuad6281 4 года назад

Hi doc after my IUD I keep sufering from bleeding everyday and abdominal pain it's seems like I'm having menstruation everyday and my india doctor just keep saying it's normal is it normal?

@dr.kristinadervaitis789 4 года назад

Hello- Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you watch video #7 “Is This Bleeding Normal?” for further general information about bleeding after IUD insertion. If you are still concerned, follow up with your doctor. -Dr. Dervaitis

@CL-fs3kt 4 года назад

Rhea Apuad This is only speaking from experience, I had some bleeding and cramping in the days following my insertion and my doctor said it was to be expected. Of course, if it is significant bleeding and pain, tell your doctor that you want to be seen. Better safe than sorry. Hopefully you’ve recovered now!!!

@rheaapuad6281 4 года назад

@@CL-fs3kt hi thanks for the advice imnjust worried because now I'm bleeding but not too much but it's been a while is it normal

@CL-fs3kt 4 года назад

Rhea Apuad I can’t tell you if it’s “normal” or not, you should email your doctor. But if you read the pamphlet for your IUD (or whatever info your doctor gave you) it should tell you what to expect afterwards. And watch the video she recommended!! #7. The IUD can cause pretty irregular bleeding. I even have to ask my doctor sometimes because I worry and I’ve had mine for 3 years. I’m from the US and luckily I was able to see my doctor a few days ago and she checked my strings during my Pap smear!

@selenasmallwood4053 4 года назад

I got my arm implant removed exactly a month ago and had my period whole time with it well I recently started my period and it always lasted 8 days but this time it lasted 4 could I be pregnant or could it be somthing els

@dr.kristinadervaitis789 4 года назад

Hello Selena- Unfortunately I can’t give personalized medical advice over the internet. If you are concerned about your bleeding or about a possible pregnancy, I recommend that you see your doctor. All the best, -Dr. Dervaitis

@lunavicente7469 4 года назад

Hey I have a question. I got my Kyleena IUD put in last September after watching all your videos. after 1 month I went for a checkup and the strings were missing. I was sent to have an ultrasound and they found that the IUD is in the right place so they said I can keep it in... However, since having the IUD I have had terrible sharp cramping pains randomly (some so bad I have to just lay down and stop what I am doing to deep breath). since then I have gotten another ultrasound and they said it was in a correct location again (this was 2 mo this ago) since last week I have had on and off stabby cramping pains and no bleeding... (I have pcos but it has never been a problem like this) The pain usually lasts all day then it's okay for like 2 days and so on... Is this normal? How do I know if it's in the right place if I can't feel the strings? What is the process of removing an IUD when the strings are missing ?

@dr.kristinadervaitis789 4 года назад

Hello- Sorry to hear about the pain that you’ve been having. Unfortunately I can’t give personalized medical advice over the internet, and because pain is a subjective symptom, it is more difficult to say what is “normal” (compared to bleeding, for example, which is more objective and quantifiable). For answers to your questions about “lost strings” and IUD removal, please see video #13: “IUD Removal (FAQ and more...)”. Ultrasound is a reliable investigation for confirming the appropriate position of an IUD when strings are not visible. -Dr. Dervaitis

@lunavicente7469 4 года назад

@@dr.kristinadervaitis789 Thank you for responding, stay safe

@getrudeswanjiru9307 4 года назад

I also have a question,, mine started fine,but keeps worsening,,, pain,bleeding,,,,am so scared

@lunavicente7469 4 года назад

@@serenaperez5132 Hey, I ended up getting a 2 week period after it, I was in pain for like 2 weeks non stop now I have no pain at all. I didn't get a chance to go to the doctor because of Covid-19 and seeing as my strings went missing from month 1 (ultrasound shows it was in the right place at the time so I kept it in) I really don't know what is going on up in there... Ugh frustrating I hope nothing is wrong. Hope you manage to get help soon xxx

@CL-fs3kt 4 года назад

Luna Vicente Are you sure the strings are “missing” or you yourself just can’t locate them? It seems to me like the IUD is placed correctly according to the ultrasound. I wonder if it’s a possibility that maybe just the strings have wandered up and that’s what’s causing the “stabby” pain you described? Have the doctors been able to locate the strings or did they just tell you to ignore it?

@mariesha5915 3 года назад

He said he could feel something cold and plastic like... a few times

@iace_e 4 года назад

me: has pain to where I can’t walk, move and have thrown up almost two weeks after placement and asks for advice to make pain stop my doctors: no help for you, no relief for you

@dr.kristinadervaitis789 4 года назад

I am so sorry to hear this. Remember, any doctor can remove an IUD. If you don’t feel that your concerns are being adequately addressed by your doctor, you can be seen at an urgent care clinic, “walk in” clinic, sexual health clinic, or emergency room. -Dr. Dervaitis

@iace_e 4 года назад

Dr. Kristina Dervaitis i feel a tad bit better, I was stuck in bed for abt a month. I only get pain from the arms that make it go down to my legs but hopefully it’ll stop sooner or later

@jessbaker1587 Год назад

Hey Dr. How many days can bleeding last while on your first period after an IUD insertion?

@dr.kristinadervaitis789 Год назад

See video #7 for information about bleeding after IUD insertion: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-KNI0uJSgLvs.html

@nettiehorton773 Год назад

My sister's is in her skull and doctors never seen a case like that

@dr.kristinadervaitis789 Год назад

I don’t understand how that is medically or physiologically possible. Did they explain a possible mechanism? This has never been reported.

@eileenramirez3529 2 года назад

I'm pregnant with perforation. My doctors don’t know what to do.

@Leahv103 2 года назад

which IUD do you have and what were your perforation symptoms if you dont mind explaining?

@MaryJane-tq5gm 2 года назад

What ended up happening you okay

@eileenramirez3529 2 года назад

@@Leahv103 The 10year copper one. I didn't know it was perforated until I found out I was pregnant. The pregnancy was not successful. I required two separate doses of methotrexate as it was an ectopic pregnancy.

@Leahv103 2 года назад

@@eileenramirez3529 oh no im so sorry!!! :(

@johntianawhite3015 3 года назад

I guess I a 1 in a 1000

@sherrywyllie2163 3 года назад

A lot of downplay and distraction i.e. not the IUD fault.

@ryanmaglangit7057 3 года назад

Hello dr. My iud is been 6 years. And i want to remove it . But my OB Gyne did not found the string on my iud so i got ultrasound.. Is it possible that my iud is still on my vagina?

@dr.kristinadervaitis789 3 года назад

Please see video #13 for more information on “lost strings” and what happens next: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-P3KND_3ysY8.html -Dr. Dervaitis