Conditions and Management

A mammogram is an important screening tool that uses low-dose X-rays to detect breast cancer early when it can be most easily treated.

Knowing what to anticipate can help you feel more prepared and at ease when going for your first mammogram or annual screening.

What Happens During the Appointment

When you arrive at the imaging center, you’ll be asked to complete some paperwork about your health history, including any family history of breast cancer.

Be ready to provide details on the date of your last mammogram and where it was done, any breast biopsies or surgeries, and if you have breast implants.

Only you and a trained technologist will be in the exam room when it’s time for the mammogram. Here’s a quick look at what is likely to happen:

• You’ll be requested to remove your clothes from the waist up and put on a hospital gown.
• The tech will place your breasts one at a time onto the platform of the mammography machine. Your breast will be compressed between two plastic plates for a few seconds while the images are generated.
• The technologist compresses the breast tissue to spread it evenly and reduce radiation exposure. Although the compression can be uncomfortable, remind yourself that it lasts just seconds per image.
• Multiple images are generated of each of your breasts from varying angles. Take deep, relaxing breaths, and do your best to stay still until you’re done.
• Once the technologist confirms all images are complete, the appointment takes about 10 minutes. You’ll put your clothes back on and head out.

Tips to Make It More Comfortable

Here are some pointers to help make your mammogram experience as easy as possible:

• Schedule an appointment when your breasts are less sensitive, if possible. For most women, avoiding the week before your period is best.
• If you choose, take an over-the-counter (OTC) pain medication such as acetaminophen or ibuprofen an hour before the mammogram.
• Avoid wearing anything such as lotion, deodorant, or powder under your arms or on your breasts on the day of the test, as they can create artifacts on the images.
• Consider wearing pants and a top instead of a dress, so you only need to remove your shirt and bra.
• Take slow, relaxing breaths, and relax your muscles when your breasts are compressed. Tensing up often makes it feel worse.
• Let the technologist know if you’re having severe discomfort so they can shift the plates slightly.

What to Expect After Your Mammogram

After your mammogram, a doctor, known as a radiologist, will carefully examine all the X-ray images for any areas of concern. If you had a routine annual screening mammogram, it can take up to 2 weeks to receive your results. However, facilities aim to deliver results much sooner when possible.

If you don’t hear anything within 10 to 14 days after your screening mammogram, don’t assume that no news is good news. Call your doctor’s office to follow up. Here’s some guidance on the common mammogram outcomes you could receive:

Normal/Negative Results

A normal (or negative) mammogram result means the radiologist did not identify any cancer or other breast abnormalities. Benign findings such as cysts or calcifications may appear, but they are not dangerous.

With normal results, you resume your annual mammogram screening based on the timeline recommended for your age and risk factors. Make sure your information is current at the imaging center you visit so you receive reminder notices when your next exam is due.

Inconclusive Results

Sometimes, the quality of mammogram images makes it hard for the radiologist to tell if an area needs further assessment. This may happen if your breasts are denser or you moved during the test. If your results are inconclusive, you’ll be contacted and asked to return for repeat images of the concerning region.

The repeat mammogram appointment focuses on getting clearer, more detailed pictures of the part of your breast tissue that needs additional evaluation. This localized, problem-focused imaging may suffice. But depending on what the extra mammogram views reveal, you might need an ultrasound or other imaging, too.

Abnormal Results

Abnormal results mean there is a region of breast tissue or calcifications that looks questionable and warrants a closer analysis. When this occurs, your mammogram report will state that you need “further diagnostic work-up” or “additional imaging.” If you receive a certified letter stating this, it understandably sparks anxiety.

The Most Common Next Steps After an Abnormal Mammogram Result

If your screening mammogram yields abnormal results, additional imaging or testing may be recommended to examine the area more closely. Don’t panic, though—many abnormalities are benign. Follow-up appointments allow specialists to determine whether concerning spots are problematic or harmless.

The most common next steps after an abnormal mammogram result include:

Diagnostic Mammogram

This special mammogram takes more pictures to precisely re-examine any regions causing concern about the screening mammogram. A doctor is present to make sure thorough images are taken of the area from multiple angles.

Breast Ultrasound

Soundwave technology checks suspicious spots for fluid-filled cysts versus solid masses. Ultrasound also assesses blood flow within abnormalities.

MRI Scan

Contrast dye is injected, and several X-ray images are generated as it flows through the breast tissue. This dynamic imaging lets radiologists assess abnormalities three-dimensionally. It also charts microcalcifications.

Biopsy

Cells or tissue are extracted from abnormal areas of the breast with a hollow needle or incision so they can be analyzed under the microscope. This is the only way to confirm if cancerous cells are present. If cancer is discovered, your doctor will discuss how you should proceed.

Keep Your Breasts Healthy With Mammograms and Assistance From Raleigh Gynecology and Wellness

Staying on top of recommended breast cancer screening through annual mammograms is essential to keep yourself safe. Don’t let myths or anxiety over callbacks stop you from undergoing this potentially lifesaving exam.

Raleigh Gynecology and Wellness specialists offer thoughtful guidance each step of the way to reduce confusion and worry. Contact us today at (919) 636-6670 or online to discuss a mammogram schedule personalized to your risk profile and wellness priorities.

Taking charge of your reproductive health involves becoming aware of all the options available for preventing pregnancy until you’re ready. Raleigh OBGYN clinics provide in-depth counseling on a range of contraceptive methods to help you find the right solution aligned with your priorities and lifestyle.

Barrier Methods: Blocking the Path to Conception

Barrier contraceptives work by physically preventing sperm from reaching and fertilizing an egg. They include:

Condoms

The male condom fits over the erect penis and collects semen to keep sperm from entering the vagina. Female condoms coat the inside of your vagina to block sperm. Both kinds also guard against STIs or sexually transmitted infections. But they can slip off or tear if they are misused.

Diaphragms and Cervical Caps

These soft, cup-shaped devices block the cervix, so sperm can’t enter. They need to stay in place 6-8 hours after sex. It’s advisable also to use spermicide cream to kill any sperm that may get past.

Hormonal Methods: Halting Ovulation and Altering Fertility Signs

Hormonal contraceptives use synthetic versions of naturally occurring estrogen and progesterone to stop ovulation. They also thicken the cervix’s mucus to inhibit sperm mobility and weaken the uterine lining to prevent implantation. Options include:

Oral Contraceptives

Also known as “the pill,” oral contraceptives contain synthetic variants of the hormones estrogen and progestin that naturally regulate the menstrual cycle. Combined formulations include both estrogen and progestin, while the progestin-only pill lacks estrogen.

When taken daily at the same time, these birth control pills work to inhibit ovulation and thicken the mucus in the cervix to prevent conception.

Oral contraceptives often provide non-contraceptive benefits as well, such as regulating menstrual cycles, reducing heavy bleeding, and improving acne. However, some women may experience side effects such as headaches, nausea, or small increases in blood pressure.

Injectable Contraceptives

Injectable contraceptives such as Depo-Provera provide a shot of the hormone progestin that lasts for three months at a time. The progestin works by preventing ovulation for the entire three-month period.

Many women appreciate only needing an injection four times a year. However, prolonged use may result in a decrease in bone mineral density since it stops estrogen production.

Implants

Implants are matchstick-size flexible rods that a Raleigh OB-GYN inserts under the skin of the upper arm. The implant rod steadily releases low doses of progestin over time and it is approved by the FDA for use up to 3 years. Nexplanon is the brand name for the implant.

Implants provide highly reliable long-acting contraception without needing to remember a daily pill. However, insertion and removal require a minor office procedure.

Patches and Vaginal Rings

Contraceptive patches and vaginal rings deliver hormone doses through the skin or vaginal walls rather than orally. The patch sticks to the skin, similar to a Band-Aid, and is changed weekly. The soft ring is inserted into the vagina monthly.

Both methods work by releasing estrogen and progestin. However, patches may cause skin irritation, and rings can slip out of place. Inconsistent use lowers the effectiveness of both options.

Intrauterine Devices (IUDs)

IUDs are small T-shaped devices positioned within the uterus that provide long-term contraception lasting 3-10 years, depending on the kind. IUDs work in various ways to prevent pregnancy:

Copper IUDs

The Paragard copper IUD triggers an inflammatory reaction and releases copper ions that damage sperm and eggs before they can unite, preventing fertilization. Approved for 10 years of use, it’s the longest-lasting reversible contraceptive option.

Hormonal IUDs

Hormonal IUDs such as Mirena, Skyla, or Liletta steadily discharge small quantities of the hormone progestin into the uterus for 3-8 years. Studies show Mirena remains highly effective for up to 8 years.

Permanent Sterilization Methods

Surgical procedures for women and men aim to permanently block fertility by interrupting the reproductive tracts:

Tubal Ligation

Tubal ligation involves cutting, tying, or sealing off the fallopian tubes to inhibit eggs from making their way from the ovaries to the uterus. It ensures sperm and eggs cannot unite.

The procedure is considered permanent birth control for women, as reversal attempts mostly fail or result in only partial restoration of fertility. Tubal ligation is done through either laparoscopy or mini-laparotomy as an outpatient surgery.

Patients can typically recover within a few days. Complications such as infection or damage to surrounding organs may rarely occur.

Vasectomy

A vasectomy is a quick outpatient procedure that cuts or blocks the vas deferens ducts that transport sperm. This prevents the release of sperm through seminal fluid during ejaculation.

Vasectomies are meant to be a permanent type of male contraception, but reversal is possible through a more complex microsurgery. Success rates for reversal procedures range between 30-90% in regaining fertility, depending on factors such as time elapsed since the original vasectomy.

Emergency Contraception

Emergency contraception can prevent pregnancy after having unprotected sex or if other birth control methods fail. Options such as Ella, Plan B, or Paragard IUD act before ovulation or fertilization can occur:

• Morning-after pills such as Plan B One-Step and Ella contain oral doses of progestin, estrogen, or anti-progestins that delay or prevent ovulation when taken within 72 hours of intercourse. They may also inhibit sperm migration or implantation.
• Paragard copper IUDs can be inserted within five days of unprotected sex to prevent fertilization through copper’s spermicidal effects. Paragard is over 99% effective if inserted in time.
• Ulipristal acetate pill Ella is the most effective morning-after pill, staying potent for 120 hours after sex versus 72 hours for levonorgestrel tablets such as Plan B.

Raleigh Gynecology & Wellness Puts Reproductive Autonomy in Your Hands

Raleigh Gynecology & Wellness provides comprehensive contraceptive counseling, guiding you through choices aligned with your health status and future family plans. We want every patient empowered to manage fertility in ways that respect their life priorities and conscience.

Contact us today at (919) 636-6670 or online to discuss the full spectrum of pregnancy prevention solutions. Raleigh Gynecology & Wellness is here to help you take control over if and when you conceive so you can live life to the fullest on your terms.

Contraceptive care provides so much more than just effective pregnancy prevention, as any Raleigh OB-GYN will tell you. While that remains the primary function for many people who use birth control, there are numerous additional and sometimes overlooked benefits as well.

Regular Period Regulation

One of the most widely utilized benefits outside of pregnancy prevention is period regulation. Many birth control methods can help if you struggle with irregular, sporadic, or missing periods.

The hormones, in combination with birth control pills – containing both estrogen and progestin – work to regulate the menstrual cycle.

This helps establish a more predictable schedule, so you know when to expect your period. The pill also often shortens and lightens bleeding due to preventing ovulation and thinning the uterine lining.

Some newer birth control pill formulations now allow even more period control. Extended-cycle options provide just four periods per year by taking active hormone pills continuously for three months before taking a one-week break.

You also have the option to suppress your menstruation completely all year by staying on active pills every single day without any breaks.

Reduced Menstrual Pain and PMS

If you suffer from painful, heavy periods or severe PMS mood swings and cramping, contraceptive care can provide relief by balancing hormones throughout the cycle.

The hormones in birth control stop ovulation and thin the uterine lining. They prevent buildup and shedding, which results in lighter bleeding. Minimal menstruation also means fewer pulses of prostaglandins – inflammation-causing chemicals that induce cramping.

Fewer hormone fluctuations also prevent the peaks and valleys that can trigger premenstrual syndrome (PMS) symptoms of bloating, breast tenderness, acne breakouts, fatigue, irritability, or depression in the weeks leading up to your period.

Lowered Anemia Risk

Heavy monthly bleeding raises the chance of iron deficiency anemia. This condition causes extreme fatigue and weakness from inadequate oxygen transport in the blood.

Using contraceptive care minimizes the amount of blood lost during your period by preventing ovulation and limiting the uterine lining thickness. The resulting lighter flow lowers your risk of developing anemia.

Clearer Skin

Many people realize contraception can reduce acne breakouts. But how exactly do specific birth control formulations clear your skin?

Combination pills, the patch, the vaginal ring, progestin implants, progestin-only pills, and some IUDs lower the amount of androgens – male hormones such as testosterone – produced by the ovaries.

Decreasing testosterone then reduces sebum production. With less oily secretions clogging pores, you end up with fewer pimples.

These methods also help prevent hormonal acne flares tied to menstrual cycles by keeping hormones steady instead of allowing estrogen/progestin levels to fluctuate. Within 3-6 months of starting contraception, many people experience significant clearing of their skin and reduced breakouts.

Endometriosis Symptom Relief

Endometriosis occurs when tissue similar to the uterine lining grows in other pelvic areas, such as the ovaries or fallopian tubes. The excess tissue thickens, breaks down, and bleeds monthly, causing inflammation, scarring, adhesions, and pain.

Because endometriosis feeds off the hormonal cycles of menstruation, stopping periods can ease related pelvic pain and cramping discomfort. By preventing the ups and downs that trigger spotting and tissue buildup, contraceptive care limits the internal irritation causing these symptoms.

Though not an endometriosis cure, contraception remains one of the main treatments for keeping the unpleasant symptoms in check.

Lower Cancer Risks

Contraception has also been shown to have beneficial effects on various cancers. These effects accumulate over years of use and last long, even after stopping.

Ovarian Cancer

Combination pills lower ovarian cancer risk by about 30% to 50% compared to people who have never taken contraception. The risk continues decreasing in direct proportion to the use duration and can last up to three decades after stopping. So, the longer you are on contraception, the more protected against this form of cancer you are.

Endometrial Cancer

Similar benefits emerge for endometrial cancer, with over 30% reduced odds of developing malignancies in the uterine lining. And the preventive impact again improves with extended consistent contraceptive treatment.

The mechanisms likely involve stopping ovulation and menstruation which limits inflammatory cycles that can damage DNA and spur abnormal tissue changes eventually leading to cancers.

Polycystic Ovary Syndrome (PCOS) Management

Characterized by irregular, infrequent periods, acne, excess hair growth, obesity, ovarian cysts, and reduced fertility, PCOS arises from an imbalance in reproductive hormones. The ovaries produce an overabundance of androgens, such as testosterone, which disrupt stability.

Contraception helps regain control over symptoms by overriding the ovaries’ malfunctioning regulation systems.

Oral, transdermal, intrauterine, implanted, or injected hormones take over, producing proper estrogen/progestin levels to potentially reverse issues such as menstrual abnormalities, provide clear skin, minimize hair growth, and prevent ovarian cysts.

Reduced PMS and Perimenopause Complaints

Premenstrual syndrome and approaching menopause share another unintended benefit from contraceptive care – blunting the ups and downs causing acute symptoms.

As estrogen and progesterone levels swing wildly during PMS and the variable transitional period preceding menopause, mood disorders, hot flashes, insomnia, headaches, palpitations, and more may plague you for weeks to months at a time.

Using oral contraception to regulate this hormonal often alleviates the intensity and frequency of these unpleasant episodes. Even lower dose formulations can reset your rhythm enough to rein in the radical highs and lows leading to problems.

While not equivalent to hormone replacement therapy, contraception may adequately control bothersome issues for those wishing to avoid daily medications during the fluctuating stages of perimenopause.

Discuss Preferences for Your Contraceptive Priorities with Raleigh Gynecology & Wellness

Raleigh Gynecology & Wellness offers personalized guidance, counseling, and care related to all contraceptive choices, whether your priorities lie with reliable pregnancy prevention or leveraging bonus health advantages.

Our Raleigh OB-GYN team takes the time to listen to your needs and tailor recommendations accordingly. Don’t struggle alone with painful heavy periods, skin flare-ups, raging PMS mood swings, or perimenopause miseries.

Contact Raleigh Gynecology & Wellness today at (919) 636-6670 or schedule a consultation online to explore how the right contraceptive match can better your life beyond simply forestalling parenthood if you’re not ready.

Hormonal contraceptives are among the most effective options available for preventing pregnancy. The pill, patch, ring, shot, implant, and hormonal IUD methods work by using synthetic versions of the hormones progestin and estrogen to stop ovulation and thicken cervical mucus.

When used properly, combined hormonal contraceptives are 99% effective at preventing pregnancy. However, they do not defend against sexually transmitted infections.

Read on to learn how the various hormonal contraceptives work and their possible side effects.

How Hormonal Contraceptives Prevent Pregnancy

All hormonal contraceptives prevent pregnancy through one or more of the following mechanisms:

Suppressing Follicle Growth and Ovulation

In a natural menstrual cycle, a complex interplay of hormones from the brain’s pituitary gland stimulates the growth of ovarian follicles containing immature egg cells. The most mature follicle eventually ruptures to release an egg, a process called ovulation.

By keeping progesterone and estrogen levels artificially high, hormonal contraceptives suppress pituitary signals. This prevents ovarian follicles from maturing and releasing eggs.

Thickening Cervical Mucus

Progestins also thicken the mucus plug at the cervix’s opening. This creates a barrier that stops sperm from meeting and fertilizing any eggs that may be released.

Thinning the Uterine Lining

In addition, the hormones partially suppress the growth of the uterine lining (endometrium). This prevents the implantation of any fertilized eggs. However, this does not cause termination of existing pregnancies—it only stops fertilized eggs from continuing to develop.

Different Delivery Methods for Hormonal Contraceptives

While hormonal contraceptives all work through similar mechanisms, various methods deliver hormones to the body uniquely:

The Patch

The weekly contraceptive skin patch sticks onto the skin and continuously releases estrogen and progestins. These get absorbed into the bloodstream directly through the skin. A new patch must replace the old one weekly to maintain pregnancy prevention.

The Pill

A birth control pill is taken daily by mouth. The hormones get absorbed into the bloodstream through the digestive tract. Different brands contain varied mixtures and doses of synthetic estrogen and progestin. Taking a pill at the same time daily is essential for maximum effectiveness.

The Vaginal Ring

A flexible ring inserted into the vagina also steadily releases a combo of estrogen and progestin. The vaginal walls absorb the hormones so they can enter the bloodstream. The ring stays in place for three weeks and gets replaced with a new one after removal for one week to allow for a monthly period.

The Shot

The contraceptive injection contains only synthetic progestin. The shot gets administered into the arm or buttocks muscle every three months by a healthcare provider. The progestin then slowly enters the circulatory system from the injection site.

The Implant

A thin rod containing progestin gets inserted just under the skin, typically on the inner upper arm. It steadily releases hormones for up to five years. Removal and replacement require a minor office procedure.

The IUD

Intrauterine devices (IUDs) are devices that are shaped similarly to the letter T and positioned inside the uterus. Hormonal IUDs contain synthetic progestin that gets absorbed into the uterine lining. Less commonly, IUDs slowly release copper ions that are deadly to sperm and prevent fertilization.

Potential Side Effects of Hormonal Contraception

For most women, hormonal contraceptives are extremely well tolerated with few issues. However, some possible short-term side effects include:

• Headaches
• Nausea
• Breast tenderness
• Mood changes
• Spotting between periods
• Weight changes

These often resolve within three months as the body adjusts. If not, changing to a different delivery method or adjusting hormone doses can help.

There is also a small increased risk of serious issues such as blood clots or high blood pressure in some women. This tends to occur more frequently among women over age 35 who also smoke or have additional risk factors.

Because of these concerns, those with a history of issues such as liver disease, blood clots, cardiac disease, stroke, or breast cancer may not be able to use hormonal contraception safely.

Effectiveness Depends on Proper Use

When used exactly as prescribed, hormonal contraceptives effectively prevent pregnancy over 99% of the time. However, typical real-world usage lowers effectiveness since women may occasionally forget to properly take pills, replace patches or rings, or make appointments to get new shots or implants.

With the pill, a 12-hour window is allowed after a missed daily dose. But missing more than one pill per cycle or delaying the replacement of other hormonal methods by more than 24 hours eliminates protection for the remainder of that month. Additional backup contraception, such as condoms, becomes necessary in such instances.

Choosing the Right Method for You

There are many hormonal contraceptive options to suit diverse needs and preferences. The pill offers flexibility but requires strict adherence. Methods such as the IUD and implant don’t require ongoing effort after placement but need in-office removal procedures.

When weighing choices, consider your health history, tolerance for side effects, and ability to utilize different delivery mechanisms properly. Tracking menstruation may also influence decisions. Discuss all these factors with a knowledgeable gynecologist when selecting the ideal contraception for your situation.

Turn to Raleigh Gynecology & Wellness for Trusted Contraceptive Care

The Raleigh Gynecology & Wellness team has extensive experience helping women select appropriate, effective, and well-tolerated contraception. We take time to understand medical history, lifestyles, reproductive goals, and preferences to offer customized recommendations.

For expert guidance identifying the ideal hormonal or non-hormonal contraception for your needs, contact us today at (919) 636-6670 or online to schedule a consultation. Our team looks forward to helping you make informed, empowered contraceptive choices for health and well-being.

Getting an IUD inserted can be an uncomfortable experience. Many people feel cramping and pain during and after the insertion procedure as their bodies adjust. This discomfort is common and expected, though the severity and duration vary from person to person.

The good news is that many effective remedies help relieve IUD cramping while your body heals.

What to Expect After IUD Insertion

Cramping and discomfort after getting your IUD are normal. During the insertion, your doctor opens your cervix so the IUD can be placed into your uterus. The cervical manipulation and the presence of a foreign object can cause temporary irritation.

You may feel moderate cramping when the IUD is inserted, which may last a few minutes to a few hours afterward. Many find over-the-counter pain medications provide sufficient relief once they leave the doctor’s office.

However, don’t be surprised if you continue having intermittent cramping that feels similar to menstrual cramps over the next few days or weeks. Spotting is also common during this time frame. Discomfort usually decreases day by day but can potentially persist at a low level for 3-6 months after insertion.

While inconvenient, remember that this is your body’s natural reaction, and it will fade. Pay attention to any worsening of symptoms, though, which may signal a problem requiring medical attention.

Methods to Help Ease Discomfort

When trying to find relief from post-IUD cramping, over-the-counter (OTC) medication is often the first line of defense:

• Ibuprofen (Motrin, Advil) – This anti-inflammatory drug works well for relieving cramping and inflammation. Take 600-800 mg every 6-8 hours as needed.
• Acetaminophen (Tylenol) – While not technically an anti-inflammatory, acetaminophen can reduce IUD cramping by blocking pain signals to the brain. Take 325-650 mg every 4-6 hours as necessary.
• Naproxen (Aleve) – Naproxen is another anti-inflammatory option similar to ibuprofen you can alternate with for pain relief. Start with 220-500 mg initially, and then 110-275 mg every 8-12 hours.

In addition to oral medication, you may find comfort using topical options such as heating pads and hot packs over your lower abdomen and back. The heat will help relax the tense muscles, easing discomfort.

Be sure to take it very easy for the first 1-2 days following your IUD insertion. This gives your body adequate rest and recuperation to heal. Light exercise is fine, but avoid anything strenuous. Wear loose, comfy clothing and permit yourself to lounge if needed.

It’s also essential to continue focusing on healthful nutrition and proper hydration during your recovery. Concentrate on eating fresh, nutrient-dense foods while limiting inflammatory triggers such as sugar, fried items, and alcohol, which can worsen cramping.

Lifestyle Adjustments to Aid Healing

Making certain lifestyle tweaks during your initial recovery from an IUD insertion can optimize your progress and comfort.

Give your body about 3-5 days before resuming vigorous workouts, and wait 1 week before having intercourse. This allows inflammation to resolve and lowers the risk of infection.

Be attentive to getting plenty of downtime, too. Nurture yourself by turning in early, reducing obligations, and finding healthy stress outlets such as light yoga, mindfulness, or music. Think of it as granting your body the grace period to bounce back.

Warning Signs to Watch For

While post-insertion cramping and minor bleeding/spotting are very standard, there are some red flag symptoms to watch out for indicating a potential complication:

• Severe pain that suddenly worsens and does not respond to medication
• Bleeding heavily enough to soak through a pad or tampon hourly
• Bleeding that contains large clots
• Foul-smelling vaginal discharge
• Fevers over 100.4°F

If you experience any of these warning signs, promptly contact your healthcare provider to rule out problems such as infection, perforation, or expulsion. They can also examine and ensure that your IUD remains properly positioned. If these worrisome symptoms arise, take them seriously and do not wait.

When to Contact Your Doctor

You should touch base with your gynecologist about persistent cramping under the following circumstances:

• Cramping worsens instead of improving over the first 1-2 weeks
• Discomfort continues severely impacting daily function after 4-6 weeks
• Menstrual flow becomes extremely heavy with clots
• You suspect pregnancy due to signs such as nausea/vomiting and missed period

While most devices settle in without incident after about three months, every woman’s response is unique. Abnormal pain levels, sudden changes in bleeding patterns, or confirming that the IUD did not stay in the correct position all warrant medical assessment.

Seeking Long-Term Relief

Suppose your IUD cramps linger longer than the typical 3-6 month window. In that case, there are some supplemental options your doctor may recommend trying:

• Vitamin B1 – Also called thiamine, vitamin B1 helps regulate nerve signals and muscle contractions, which can ease persistent cramping. Typical dosing is 50-100 mg daily.
• Omega-3 Fatty Acids – Anti-inflammatory omega-3s found in fish and flax oils can gradually help calm an irritated uterus when taken regularly in high enough amounts. Aim for a minimum of 2000 mg a day.
• Magnesium – This essential mineral is depleted during stress, contributing to tense uterine muscles and cramping. Restoring healthy magnesium levels by taking 300-400 mg daily rectifies muscle tightness.

For patients needing significant cramp relief, a doctor may prescribe muscle relaxants, nerve pain agents, or hormonal treatments. Alternative medicine approaches such as acupuncture also help some women find lasting alleviation of stubborn discomfort.

Work with Raleigh Gynecology & Wellness for the Ultimate in Post-IUD Care

If troubling side effects arise with your IUD or questions emerge about ideal management for your situation, Raleigh Gynecology & Wellness has knowledgeable clinicians who offer personalized guidance. We have extensive training in all types of birth control along with expertise in treating post-insertion difficulties.

Contact us today at (919) 636-6670 or online to find out how we can assist you in easing discomfort or deciding if a different contraceptive method better fits your needs.