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Cramping and lower back pain since ParaGard IUD insertion, when will it end? #324/12

 I just had my ParaGard IUD inserted yesterday.  With everything I've read, I'm slightly paranoid because I have had a lower backache and cramping since it was inserted.  I woke up feeling ok this morning, but as the day went on, the cramping and backache came back.  I also tried to feel for my strings today and can't feel those either.  I am scheduled for an ultrasound tomorrow to make sure the IUD is in the correct position because I had a LEEP done 2 years ago and it shortened my cervix a bit.  Aside from that, when the doctor inserted the IUD, she mentioned that she got it in place, but my uterus gave her a slight resistance.  Should I be concerned about the IUD not being in the proper place or even worse, attached to the uterine wall?  When will the cramping and backache subside. I've been living off of Tylenol and Ibuprofen.

Good morning!


My concern is that your IUD may be into the wall of the uterus or even outside the uterus.


Perforations are quite rare (about 1 in 1,000 insertions), however, so the question of where your IUD is will be answered when that ultrasound is done.


Chances are your IUD will be found to be right where it is supposed to be and that your cramping and back pain will get better soon.


You are using a marvelous contraceptive.  I hope it all works out for you.



Her email on 3-16-: “Thank you so much for your prompt response!  I woke up with very minimal cramps this morning and my ultrasound is not scheduled until later this afternoon.  However, I am happy to report that I was able to feel the strings from my ParaGard this morning, which eased my mind quite a bit.”


Good luck and do keep me posted.


Her email reply on 3-16: Hi Dr. Hatcher, I went for my ultrasound this afternoon and according to the technician, my IUD is in place and right where it should be!  I am thrilled and now feel like I can sit back and relax a bit.  Now if only the cramping and backache would go away.  I’d feel even better.  They are definitely decreasing each day, but how much longer of those annoying cramps and aches can I expect?”


I am glad the pains are getting better and that your IUD is in place.  I would expect your cramps and aches to improve very soon.


To learn more about the advantages and disadvantages of the ParaGard IUD, go to our website: www.managingcontraception.com and click on Choices.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?

Key Words:  ParaGard IUD, inserted, lower back pain, cramping, strings, ultrasound, LEEP, position, shortened, cervix, uterus, resistance, uterine wall, Tylenol, Ibuprofen, perforations, rare, contraceptive 

posted 3-21-2012, Updated 4-6-2012

Robert A. Hatcher MD, MPH
Emeritus Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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