Brief Answer:
Minimal chance of perforation. Need evaluation for back pain.

Detailed Answer:
Hello,

Thanks for writing to us.
XXXXXXX is a levonorgestrel releasing hormonal intrauterine contraceptive device that prevents pregnancy more than 99% for up to 3 years.

All above said features are basically side effects of XXXXXXX (especially for FIRST time user) until body get adjusted with hormonal device. Low back pain or abdominal pain may persist even after removal of IUD in some cases. Here, chance of uterine perforation is very minimal (1 out of 1000) and mostly occur at the time of insertion.

In this case, underling pathology like PID (Pelvic Inflammatory Disease) or associated infection should be ruled out. They may cause chronic pelvic or low back pain, associated with IUD user.

One pelvic ultrasound is recommended to identify uterine pathology (if any) and one digital X-ray for L-S spine (initially) or MRI scan (later month) may be required to rule out causative factor of Low Back Pain.

Regarding this, I suggest to consult with your local gynecologist or physician for clinical examination, above mentioned tests and proper treatment.

In the mean time, I can recommend following things to be helpful :

1) Use Hot-water bag compression or Ice-cold pack for low back pain.

2) Take adequate rest as much as possible with proper position.

3) Pain killer like Ibuprofen or other NSAIDS can be used for short period.

4) A warm sitzbath may provide some relief by relax pelvic floor muscles.

Hope, it helps for your information. Any further queries are most welcome .

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer:
At first, PID needs to be ruled out.

Detailed Answer:
Hello,

Thanks for follow up query.

I don't see patients reporting persistent back pain after IUD removal. However IUD users are mostly associated with PID or Chlamydial infection, leading to lower abdominal or back pain quite often. We need to investigate properly to bring out a proper diagnosis. After that, antibiotic regimen will be helpful.

Persistent low back pain needs further evaluation with digital X-ray or MRI to rule out L-S spine pathology, Spondylitis, Sciatica etc. In that case, you have to consult with your local physician or Orthopedician for proper management.

Medical treatment and physiotherapy can improve day to day life to some extent. It takes time to get fully recovered. Until then, you should follow above regimen.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Regards,
Dr S Patra

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Brief Answer:
Following drug regimen is useful.

Detailed Answer:
Hello,

Thanks for additional query.

For PID, oral or parenteral regimen like Doxycycline with ampicillin-sulbactum or cefoxitin/ ceftriaxone is quite useful in most cases.

Here, I suggest you to confirm the diagnosis through your physician and procure complete prescription accordingly. It will be more helpful.

Maintain genital hygiene properly. Be well and take care.

Regards, Dr S Patra

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