Brown Discharge After IUD Insertion: What to Expect

Using a contraceptive ring may cause dark brown discharge?

I first used the contraceptive ring (NuvaRing) and have only taken emergency contraception once; I have not used any regular contraceptive pills.
I inserted the ring on the first day of my period, February 20.
About two days later, the bright red menstrual flow stopped, and I started experiencing dark brown discharge that has not ceased, requiring a pad change approximately every 2 to 3 hours.
I also began to feel dizzy.
Starting March 1, the flow gradually decreased, and at one point, I could go 3 to 4 hours without needing to change the pad, but there was still some discharge when I wiped after using the restroom.
On the evening of March 5, I saw a doctor who performed an ultrasound and prescribed me four medications: Estradiol Valerate, Provera, Ergometrine Maleate, and Tranexamic Acid.
After taking all four medications on the morning of March 6, my flow actually increased again, requiring a pad change every 2 hours, along with dizziness, mild nausea, and headaches.
After dinner on March 6, I took the medications again, and the discharge increased slightly.
Should I stop taking these four medications? (I currently hope to keep the contraceptive ring in for a full three weeks, until March 13, before removing it.)

Niming, 30~39 year old female. Ask Date: 2018/03/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the side effects of the intrauterine device (IUD) include that a small percentage of users (approximately 1.6-11.8%) may experience hormone-related side effects such as headaches, nausea, vomiting, breast tenderness, and slight weight gain.
Generally, these side effects will almost completely disappear or diminish after discontinuation or a 1 to 3 month adjustment period.
It is recommended to continue the medication; however, if bleeding persists, please return for evaluation by a gynecologist to consider changing the medication or treatment method.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2018/03/06

More Info

When it comes to understanding the brown discharge after IUD insertion, it's important to consider several factors related to the menstrual cycle, hormonal changes, and the body's response to the IUD itself.
Firstly, the brown discharge you are experiencing is not uncommon after the insertion of an IUD, especially in the initial weeks. This discharge is often old blood that is being expelled from the uterus, which can happen as your body adjusts to the presence of the IUD. The fact that you had a normal menstrual cycle prior to the insertion and that you experienced a reduction in red blood flow followed by brown discharge is consistent with what many women experience.
The duration and frequency of the discharge can vary significantly from person to person. In your case, needing to change a pad every 2-3 hours is on the heavier side, but it can still be within the range of normal as your body adjusts. It’s also worth noting that hormonal changes can lead to symptoms such as dizziness, nausea, and headaches, which you mentioned experiencing. These symptoms can be attributed to the hormonal fluctuations caused by the IUD, particularly if it is a hormonal IUD.

Regarding the medications prescribed to you—Estradiol Valerate, Provera, Ergometrine Maleate, and Transamine—these are typically used to manage bleeding and hormonal imbalances. Estradiol Valerate is a form of estrogen that can help regulate the menstrual cycle, while Provera (medroxyprogesterone) is a synthetic form of progesterone that can help manage abnormal bleeding. Ergometrine is often used to help contract the uterus, and Transamine (tranexamic acid) is used to reduce bleeding.
If you are noticing an increase in discharge after starting these medications, it may be a sign that your body is reacting to the hormonal changes. It is crucial to communicate with your healthcare provider about these symptoms. They can assess whether the medications are appropriate for your situation or if adjustments need to be made. Stopping the medications without consulting your doctor is not advisable, as they may have been prescribed for a specific reason related to your symptoms.

In general, if you are planning to keep the IUD in place for the full three weeks, it is essential to monitor your symptoms closely. If the discharge becomes excessively heavy, or if you experience severe pain, fever, or any other concerning symptoms, you should seek medical attention promptly.
Additionally, it is important to remember that while IUDs are highly effective forms of contraception, they can take some time for the body to adjust to. Some women may experience irregular bleeding or spotting for the first few months after insertion, which typically resolves over time.
In conclusion, while brown discharge after IUD insertion can be a normal occurrence, it is essential to keep an open line of communication with your healthcare provider regarding any changes in your symptoms or concerns about the medications you are taking. They can provide personalized advice and ensure that you are on the right track for your reproductive health.

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