The intrauterine device
is by far the most suitable method for your age.
Excessive bleeding is a side effect, but there is medical treatment.
First of all you should exclude organic causes, the most important of which is displacement.
This could be ruled out by a pelvic ultrasound
, preferably transvaginal.
If the IUD is in place, you may start medical treatment and there are many options, some of which are the following:
- mefenamic acid
500 mg tid for 5 days and resume with the beginning of menses.
- ibuprofen 600 mg once daily throughout menses.
- tranexamic acid
1 gm qid for 5 days and resume with menses.
Another option is to change this type by the progesterone
I hope these words were usefull and wish you the best of luck.
Dr. Ahmed Bahaa.