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Spotting
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melsiah posted:
Hello, I have had the Paraguard IUD for 2 to 3 years, and I have already had my period for this month, but now I have had some spotting which is a pinkish color. Is that normal? I also still have normal periods lasting 5 - 7 days every month since I started the IUD.
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Jane Harrison Hohner, RN, RNP responded:
Dear melsiah (like the spelling of your name): If your light spotting began about cycle day 14 (cycle day 1 being the first day of your last period),the most likely cause would be bleeding with ovulation. Right before ovulation there is a brief spike of estrogen. When this level drops back down to normal, the sharp decline can destabilize the lining of the uterus leading to spotting/bleeding. Some women have this sign of ovulation every month; others only rarely. Fortunately the amount is usually scant and brief in duration.

Some other possible causes of erratic spotting can include a new chlamydia infection (unlikely if you are both monogamous). polyps of the lining of the uterus (way more common in midlife women), or missed/erratic ovulations (usually there will be a history of missed/irregular periods).

If your erratic bleeding persists, or you develop other symptoms (eg pelvic pain from an infection or ovarian cyst) see your GYN or local family planning clinic. Hopefully, since it never happened before, this is an isolated episode of ovulation-linked spotting.

Yours,
Jane
 
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melsiah replied to Jane Harrison Hohner, RN, RNP's response:
Thank you, the information has been helpful.


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