Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

151 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Is it common to prescribe ornidazole capsules after removal of IUD?

Answered by
Dr.
Dr. Arif N Khan

OBGYN

Practicing since :2007

Answered : 1279 Questions

default
Posted on Wed, 11 Dec 2013 in Vaginal and Uterus Health
Question: Is it common to have ornidazole capsules prescribed after an IUD has been taken out due to having been dislodged and there is a presence of abnormal bleeding with an inflamed cervix? What else could be present?
doctor
Answered by Dr. Arif N Khan 17 minutes later
Brief Answer: antibiotics are given after IUD removal. Detailed Answer: Hi, Thank you for choosing XXXXXXX I have analyzed your query, yes it is common to give antibiotics like ornidazole after IUD removal to prevent infection, it is mainly as a prophylactic thing. Its unusual to have bleeding with LNG(levonorgestral) IUD, there could be some other pathology which needs attention. My advise you get a PAP smear and a scan pelvis to know the uterine size, any pathology like adenomyosis or fibroids and to know endometrial thickness. Depending on the findings you may be required to get an endometrial biopsy also. Considering your age and parity status(number of children) treatment can be planned. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Arif N Khan 34 minutes later
Thank you for your quick response. I had never had abnormal bleeding or spotting in between periods until the IUD was placed about a month and a half ago. I have had no children. Upon IUD insertion, I did have a pelvic ultrasound that did find 2 small cysts. The spotting and bleeding happened soon after the IUD was placed. I am abroad and had it removed in China at a woman's clinic (as I had the IUD placed at home with my OBGYN and was traveling soon after) about one month later. They did all the follow up check ups like swabbing/pap smear, ultrasound to see where the IUD was, and took pictures of my cervix and removed the IUD soon after on the same day. They did recommend coming back to remove the cyst they found and said it would be brief process. I will continue to monitor the bleeding but hoping that it is just my period and nothing else. If the bleeding persists I will have to go in and ask for an endometrial biopsy. But the only issues I have had in the past were heavy bleeding with periods and bad cramping my entire life since having my first period ever. But my cycle was normal and on time and lasted 6 days. I was a little nervous that the IUD had embedded itself or tore through my uterus or that I was experiencing symptoms of Pelvic Inflammatory Disease (all symptoms I never experienced before until the IUD). From what I understood they said all was ok except the IUD had moved downwards towards my cervix and got dislodged and that there was inflammation of the cervix that I hope will go away with the antibiotics. The pain I experienced in the past month was so severe I was taking 800 motrin a few times a day and it did not help with the pain. The pain was so bad that I would drop to my knees. I also had a strange foul odor that was present (I had never experienced that before) but went away immediately after the removal of the IUD. I did some research on some forums and read of similar symptoms from other women. I know that it is in rare instances that women will have a bad reaction to the IUD. I hope that no other complications will result. I hope that since I am no longer experiencing pain and the fact the odor went away; all will be ok in time. And hoping the bleeding subsides. Thank you for your quick and detailed response. If anything persists, I will continuously keep in contact with you through this site. I was not so sure of it's validity but am more than satisfied with your response. Thank you!
doctor
Answered by Dr. Arif N Khan 18 hours later
Brief Answer: Could be due to cervical congestion. Detailed Answer: Hello, I apologize for the late response; I was away from my computer due to unavoidable reasons. Coming back to your question, so considering the PAP smear and scan report I feel the heavy bleeding/spotting could be due to cervical congestion. I agree with your doctor for the present antibiotic treatment. For your heavy periods I dont advise you any more IUD, but just progesterone treatment only after endometrial biopsy report. I strongly suggest you for an endometrial biopsy, because your further treatment depends on that. And regarding the cyst, I can comment on it if you could give me further information regarding the size/ site/ is it solid or cystic or just upload the report I will comment on it. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Lab Tests
Medical Topics ,   ,  

Recent questions on  Intrauterine device

doctor1 MD

hi I have had the mirena for 1 1/2 years and I have been bleeding on and off for a month with bad pain and pass clots from time to time. I went to the doctor last week and they could not find my iud. so they ordered a pelvic ultra sound im waiting for my results but what do you think it could be causing this pain and clotting? my pregnancy test was negative and also for infections.

doctor1 MD

I've had my IUD since March (it was put in during the week of my period while on BCPs) of this year. Everything had been fine since the insertion. I haven't had more than the occasional spotting. Today/Last night I noticed that my central abdomen, between my belly button and the top of my pubic hair is tender when pressed like I was having an exam. I did have sex back at the end of October (two months ago) but he did not finish inside me. My strings are still in place and it only bothers me when I press on it.

doctor1 MD

I currently have a mirena IUD and have had it for a year and a half. I had unprotected sex 2 days after my period ended. Before that it had been over a year since I have had sex. I got extremely nauseous about 5 days later. Had diarrhea and started to feel a tingle sensation in my boobs. Let me say that the period I had before I had sex was extremely heavy and the first I had in a long time. Now about a week before my period is due (if I even get one because of my IUD) im not sick anymore. Have as much energy as I should with a 4 and 2 year old. Im getting thick white discharge and the normal odor that a female gets. Now my boobs feel bigger but dont really hurt. I have taken 2 pg tests and both negative but could be to early. Possible im pregnant?

doctor1 MD

Hi I m Maggie a mom of two children one is two next month and my younger sis four months, I have the mirena iud I got it on February 13, my partner and I are sexually active for 8 weeks and I bleed after every time and now I have sharp abdominal pain around my belly button, I also have a history of ovarian cysts. So I m not sure if that s what wrong or if something else. I checked for strings and I don t feel them, but I never could after it was placed. Really wondering what cause I m worried I may be pregnant again cause I was on birth control after I had my daughter and she was fully breastfed like my son is now and I still got pregnant.

doctor1 MD

Hello Doctor, What would be the safe contraceptive pill post unprotected intercourse? Please advise. Thanks

doctor1 MD

Hi Doctor,my period date is 2nd of everymonth, I got my period normally on may 2nd and it is ended on 6th may as usual, But on 7th may i had condom broke sex so i had took ipill on 8th may to avoid unwanted pregnancy .After taking that tablet i...

doctor1 MD

Whe does the bleeding start. What is the best way of contraception