IUDs and lower back pain

IUDs and lower back pain

Lower back pain is one of the less advertised possible side effects of IUDs or intrauterine devices. However, women's health forums contain numerous reports of women experiencing lower back pain that only began after an IUD was inserted.

IUDs are small, flexible, T-shaped contraceptives that are inserted into the uterus through the cervix. They disrupt sperm flow and prevent eggs from implanting in the uterine wall. There are two types of IUDs: copper and hormonal. Copper is toxic to sperm. Hormonal IUDs thicken the mucus around the cervix and prevent sperm from entering.

There are a number of possible causes of back pain associated with IUD use. The timing and duration of the pain can indicate the cause. Lower back pain that lasts from a few hours to a few weeks after insertion may simply be due to the introduction of a foreign object into your body. Cramps may occur in your uterus, which may cause lower back spasms.

One possible cause of persistent lower back pain after IUD insertion is a change in menstruation. Copper IUDs have been linked to heavier menstrual bleeding. During menstruation, the body releases high levels of prostaglandins, chemicals that cause the uterus to contract. This contraction allows it to shed its lining, which leaves the body during menstruation. Contractions cause abdominal and back spasms. Muscle spasms in the lower back can cause pain.

While hormonal IUDs can actually help relieve painful menstrual symptoms like cramps, they can cause back pain in another way. Levonorgestrel, the hormone released by some IUDs, has been linked to back and pelvic pain in 1-10% of users. For more information about the possible side effects and risks of hormonal IUDs, see http://www.netdoctor.co.uk/medicines/100001706.html.

Another possible long-term cause of back pain associated with IUD use is uterine perforation. This can occur during insertion if the doctor performing the procedure makes a mistake. Not only can an IUD in a perforated uterus prevent pregnancy, but it can also be out of place. Improperly placed IUDs can cause internal scarring or infection. Damage and inflammation of the pelvic tissue can cause both pelvic and back pain.

One of the most popular concerns associated with IUD use is the increased risk of pelvic inflammatory disease (PID). This is caused by an infection that travels from the vagina to the cervix, damaging all female sexual organs. IUDs do not cause PID, but they can contribute to its spread. PID is caused by sexually transmitted infections, including gonorrhea and chlamydia. During insertion, an IUD can help prevent infection from entering the uterus. Infection of the reproductive organs can cause back pain due to proximity.

There are many reasons why a woman may choose an IUD over other birth control methods. Hormonal IUDs only need to be replaced every 5 years, and copper IUDs last 10 years. They are hassle-free, discreet and more effective than other forms of contraception. However, they are not perfect. They can come loose, affect your period and cause health problems.

If you are at risk of contracting a sexually transmitted disease, IUDs should not be used. If menstrual periods are frequently heavy, copper IUDs should not be used. Make sure a careful and experienced doctor inserts an IUD. If your back pain persists for more than two weeks after onset or if it is severe, you should see a doctor. An ultrasound or physical exam can determine whether the IUD is still in place. Keep track of your symptoms and learn about the benefits and risks of different forms of birth control.

For more information about IUDs, see http://www.webmd.com/sex/birth-control/intrauterine-device-iud-for-birth-control.

Inspired by Sean Burton