Though pain abodemen is the major side effects of IUD insertion, if the pain is very severe, it is possible that the device may have been incorrectly placed in the uterus
. Further severe pain
could also be due to perforation of uterus. Pain could also due to infection. Hence i feel that a pelvic x-ray must be taken to rule out perforation. If the pain is associated with vaginal discharge
, abnormal bleeding, we should suspect pelvic inflammatory disease
and it needs aggressive treatment.Therefore, Consultation with a gynecologist is strongly recommended.