I have a Paraguard and it is about 4 months old. I have heavy periods containing large I MEAN LARGE blood clots, going through 2 or more boxes of 20 tampons at super plus size, also headaches, and constant nausea at times. Is this a cause for concern or no?
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The heavy bleeding and the large clots that you describe is not normal if it has been persistent. Occasional heavy bleeding and presence of clots or endometrial tissue chunks in menstrual bleeding is considered to be normal. You should not ignore your symptoms. The exact cause can only be made out after careful evaluation. If you suspect chances of pregnancy and incomplete abortion (pregnancy is possible even with IUD in place), consider visiting your doctor/gynecologist at the earliest for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately) along with ultrasound scan to see if uterine cavity is empty or with retained products of conception. If pregnancy gets ruled out, further evaluation would be done to look for the underlying cause for your symptoms and heavy periods. Treatment as appropriate (based on examination findings and investigations results) would be started to help you control the symptoms and regulate your periods. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet.
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