Experiencing Heavy Bleeding After IUD Removal
Hi there, I recently had my Liletta IUD taken out on Tuesday, and since August 18, I have been experiencing intermittent heavy bleeding. Today, I passed a blood clot resembling jelly, about the size of my palm, which left me quite stunned. Within a span of two hours, I had to use two ultra tampons due to the heaviness of the flow. Thankfully, the bleeding seems to be gradually decreasing, and I'm making sure to stay well-hydrated. After undergoing an ultrasound, it was revealed that my IUD was positioned lower than it should be, and I also have a uterine fibroid. The dimensions of the fibroid are 4.6 cm x 4.7 cm x 4.7 cm, located on the right fundal area, intramural/subserosal. In our discussion, the OBGYN nurse practitioner suggested that I consider having a new IUD inserted, despite it previously shifting out of place, although she couldn't provide a clear explanation for that occurrence. The insertion process is quite distressing for me, so I don't make this choice lightly; however, living without my period significantly improves my quality of life. Since the removal, I've started bleeding again, and I'm feeling extremely unwell, particularly today. Is the heaviness of my bleeding particularly concerning because it's following the removal of the IUD, or should I expect this as my new normal? Considering the presence of the fibroid and my current results, what advice can you offer? I have an appointment set with a family planning specialist this week and will meet with a fibroid expert next month; I want to explore my options thoroughly. Am I being overly dramatic in contemplating a hysterectomy? I've never desired children and do not plan to have any in the future. Initially, I anticipated only a brief return of my period after the IUD was taken out, but bleeding has persisted for nearly a month, much heavier than I expected. Any suggestions on what questions to pose to my doctors would be greatly appreciated.
Answers (1)
9/14/2025, 12:20:49 AM
OpenHealth AI
It sounds like you're experiencing quite a bit of distress due to heavy bleeding after your IUD removal. This can be concerning, especially given the fibroid and your personal situation. Let’s break this down to address your main concerns:
Key Points:
- Heavy bleeding after IUD removal can occur but should be monitored closely, especially with the presence of a fibroid.
- It’s important to stay hydrated and track any changes in your bleeding.
- Your upcoming appointments will be crucial for exploring your options.
Explanation:
After an IUD is removed, some individuals may experience heavy bleeding due to hormonal changes or the underlying presence of fibroids. The jelly-like blood clot you passed could be linked to the fibroid's impact on your uterine lining. While some bleeding is expected, persistent and heavy bleeding, particularly when soaking through tampons in short intervals, requires attention.
Since your ultrasound revealed a fibroid of significant size and you’re reporting unusual symptoms, it’s good that you have consultations scheduled with specialists. Bleeding may taper off as your body adjusts post-removal, but you should not dismiss the heaviness of your current symptoms.
Recommended Next Steps:
-
Monitor Your Symptoms:
- Keep track of your bleeding—note the number of tampons or pads you use per day, any clots, and any associated symptoms like pain or fatigue.
-
Stay Hydrated:
- Continue to drink plenty of fluids, as this will help support your overall well-being during this time.
-
Prepare for Appointments:
- Write down any symptoms you’ve experienced and questions you have. Consider asking about:
- The relationship between your fibroid and heavy bleeding.
- Treatment options, including the pros and cons of different birth control methods (like a new IUD) vs. surgical options (like a hysterectomy).
- What signs would indicate the need for immediate medical attention.
- Write down any symptoms you’ve experienced and questions you have. Consider asking about:
-
Consider Emotional Support:
- It’s normal to feel anxious about these changes. Support from friends, family, or a counselor may help you navigate your feelings about the situation.
Your feelings about a hysterectomy are valid, especially if your quality of life is significantly affected by heavy bleeding and pain. The key is to gather all the information you need during your upcoming appointments to make a well-informed decision that aligns with your health goals and lifestyle.
If your symptoms worsen before your appointments, such as experiencing severe pain, lightheadedness, or continuous passing of large clots, it's important to seek immediate care. Don't hesitate to reach out for further support or information as you navigate this. Your health and comfort are important.
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