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Pregnancy (Expert Forum)
ttc after iud removal
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
This forum is for questions and support regarding pregnancy issues such as: Alcohol/Drugs, Bleeding, Caesarean Section, Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness, Nutrition, Parenting, Prenatal Care, Weight gain.
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ttc after iud removal
by mommywluv, Nov 06, 2008 11:56AM
Hello everyone, I had my copper iud removed on October 6 after having it in for about 11 months so my husband and I could ttc our 3rd. I had my af every month on a regular cycle while iud was in. Since it has been removed my af was due to arrive October 20th but nothing yet. We took a hpt after af was 1 week late and it was negative. Had some symptons of pregnancy, such as nausea and sore breasts, which I have read other woman say is common after iud removal. AF is now 2 weeks late and do not feel any symptons of her arrival. I called my OB today and she said that it is not abnormal for period to not come after removal, but said to wait until the 10th of this month and then take another hpt. If that shows negative and af does not arrive by the 20th to call back and she will prescribe med to induce period. She did tell me however that just because I was not getting period does not meen ovulation is not occuring, and that I could monitor with test kit. Has anyone ever had anything like this occur after iud removal? Doc had originally told me that fertility should not be effected by iud, and since I was on a copper one and always got my period that we could ttc right away and did not have to wait for cycles to regulate, since they always were. We already have two winter babies and would love to have a summer baby, but of course would just be grateful for a happy and healthy baby/pregnancy no matter when it happens. Any input anyone can share would be greatly appreciated, and here is to sprinkling baby dust to all of us ttc.
Doctor's Answer
by Elaine Brown, MD, Nov 07, 2008 09:42PM
, Nov 07, 2008 09:42PM
To: mommywluv
Hi!
What your doctor told you about your IUD and your cycles and your fertility is exactly what I would have said to you too! And I would have expected your period right on schedule. It may be just an unlucky coincidence that it didn't happen that way.
I would also try Provera or Prometrium as a next step to induce a period if it doesn't happen spontaneously and the test remains negative. She is also correct about the ovulation thing, and it could be that you are just ovulating way off schedule this month--who knows why! We doctors often think you patients do this on purpose to make us look foolish!
If the Provera/Prometrium didn't work, I would do two things next: An ultrasound to make sure that there is no scarring of the cervix causing the period to "back up" and fail to flow out (very UNLIKELY) and then start clomid or femara to jump start your cycle for you.
It sounds like you have a good MD. It also sounds like you have a high likelihood of getting your wish for another healthy baby--in the meantime cherish those first two!
Good luck!
Dr B
What your doctor told you about your IUD and your cycles and your fertility is exactly what I would have said to you too! And I would have expected your period right on schedule. It may be just an unlucky coincidence that it didn't happen that way.
I would also try Provera or Prometrium as a next step to induce a period if it doesn't happen spontaneously and the test remains negative. She is also correct about the ovulation thing, and it could be that you are just ovulating way off schedule this month--who knows why! We doctors often think you patients do this on purpose to make us look foolish!
If the Provera/Prometrium didn't work, I would do two things next: An ultrasound to make sure that there is no scarring of the cervix causing the period to "back up" and fail to flow out (very UNLIKELY) and then start clomid or femara to jump start your cycle for you.
It sounds like you have a good MD. It also sounds like you have a high likelihood of getting your wish for another healthy baby--in the meantime cherish those first two!
Good luck!
Dr B
Member Comments (3)
by leally, Dec 16, 2008 08:08PM
I had the Mirena removed on November 13, 2008, and had a 2 week spell of bleeding afterwards. The doc said it was normal. See I never had a period with the Mirena so I really don't know when I am ovulating and when expect my next peroid because I haven't had it yet. I have taken hpt but they all show negative. So, my question is really what is going on and what should I do?
by 2lilangels, Dec 28, 2008 12:17AM
To: mommywluv
I also had 2 boys and they both were winter babies! I just had the iud removed this summer, and my period was late by 6 weeks. We are also trying for a 3rd and final baby. We got pregnant right away, BUT lost the baby at 12 weeks due to "unknown" reasons. I reccomend doing testing before trying to concieve or waiting for the copper to clean out of your uterus. I ended up having to have a d and c on oct 13th, and waited for a normal period and got it on the 16th of november. SO now im 6weeks and hoping for a summer baby as well. I dont know if any of this was helpful, but I wish the best to you and your family! :)
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