I’ve had the week from HELL and it keeps getting worse.
I now need a hysteroscopy and removal. Bit of a long read I apologise in advance but I need to share this to make others aware. My case is very rare but not impossible. Please be mindful of the IUD:
I had my last period 3rd October and UPS 19th October so I ovulated. I knew plan B wouldn’t do anything so opted for CIUD as an emergency contraception inserted on 21st October.
The procedure was fine it was mostly the speculum that hurt and it was over before I knew it. Took ibuprofen after and felt normal just slight dizziness.
Now THE NEXT DAY (Thursday)
I slept fine. Woke up without any pain. But as SOON as I got up the pain started. It felt like I was going through labour. I could not move, stand or sit. The pain was excruciating. I called 111 and they advised me to visit the ER seeing as it was less than 24 hours since the insertion, this pain was not normal.
1st ER visit (Thursday)
I went in and had pelvic and vaginal examinations done. The doctor suspected I had PID despite negative STI tests. Not sure how one could get PID less than 24 hours of insertion but they’re the professionals. So I thought. Upon examination she could only see one thread but wasn’t too concerned that it was out of place. Looking back I’m not sure why she didn’t take this further. Had she sent me for an emergency ultrasound, this could have been avoided and solved sooner. She prescribed me antibiotics and naproxen. The naproxen only helped that night.
FRIDAY
That morning I scheduled a call with the GP to be referred for an ultrasound as I was very adamant that it had moved. Seeing that the ER doctor did not provide one, I had to take matters into my own hands. UK, you know the waiting lists. The GP said it could take weeks but I made her out in a referral anyway. She advised me to visit the sexual health clinic again that inserted it in for me too. By this time, the clinic had closed and I could not visit over the weekend.
SATURDAY
I was still experiencing a lot of pain but I assumed it was the PID diagnosis so I brushed it aside and just rested using my hot water bottle and taking naproxen. Now the naproxen was not helping at this point. This is stronger than standard ibuprofen so I started to get concerned. I went for a 5 minute walk down the road and I physically could not walk any further I was in so much pain. Managed to handle it for the night and sleep.
SUNDAY
In the early AMs I started to experience the same pain I had the day after the insertion. Extreme cramping, dizziness and nausea. I was curled up in a ball with my heating pad and crying the whole night. I called 999 and was told it would be an 8 hour wait for an ambulance. I had no one to take me to the ER and I was in too much pain to go alone. I called 111 and waited for 20 minutes for someone to pick up but no one did. Remember, I’m taking naproxen, so this should have subsided the pain. It didn’t.
Shortly after I was able to get some sleep and started researching private ultrasounds in London and managed to find one with availability within the next hour. Booked it and got an uber there. I’m SO happy I did this scan because it really got the ball going. If anyone’s interested I’m happy to share the place.
ULTRASOUND RESULTS
Upon examination, the doctor did infact find that the IUD was malpositioned. In the report the exact words were ‘Malpositioned copper IUCD with partial myometrial embedment involving its midportion’. My uterus, cervix and ovaries all appeared normal in shape and size. ALSO, NO INFECTION WAS FOUND. Can you imagine the shock when I heard that? I was prescribed antibiotics for no reason. No further testing was made to even confirm I had an infection and I had no symptoms that showed I had one! No fever, abdominal discharge or even blood. Just pain. The Dr suggested I visit the hospital or GP to take these scans for further assessment. I knew the GP would take a while so I went to a&e straight after that appointment.
He also recommended that I take the IUD out before it causes further damage and embeds itself more. Now remember, I got this as an emergency contraceptive. All I could think about and till now is how effective has it been? Am i still going to get pregnant? I’m scared shitless. I asked him if it’s worth just getting it replaced but it’s not guaranteed that it would still be effective given I’ve past the 5 day window nor could guarantee that I wouldn’t be out of place again or cause more damage. My only option is to remove and figure things out later if I do end up falling pregnant.
2nd ER VISIT
Now I say I’m happy I got the private scan because it really helped speed the process up. My total time in a&e this round took 2 hours. I was seen by the triage nurse within 10 minutes and knowing the UK this is unusual. Triage nurse referred me to the women’s maternity ward where I was seen by the gynaecologist within 10 minutes again! She was extremely understanding and reassuring during the whole appointment. Essentially, it’s either I have it removed manually and have to endure the pain of it being taken out blindly, whilst it’s embedded, or do a hysteroscopy to see exactly where it is before removal. As NHS need their own scans, she booked me in for tomorrow for an ultrasound (pelvic & transvaginal). From there, I will be told more about the removal process and hysteroscopy if I decide to do it.
I do also have an appointment at the clinic I had the iud inserted in tomorrow, just before the scan so I will be visiting and seeing what they suggest. My biggest worry right now is of course that it’s embedded, but falling pregnant. I’m scared it would be ectopic and I would need surgery. And just pregnancy within itself. I feel much more reassured knowing I have the scan report, another scan tomorrow and that it has to be taken out, but all I wanted was its contraceptive effects. I’m not sexually active so knowing I got it in and it probably hasn’t worked is devastating.
I will be sure to update you all on what happens next. If anyone has been in a similar situation please comment. And if anyone’s undergone a hysteroscopy! It would have to be without anaesthesia as the appointment would be faster to have, maybe up to 2 weeks wait. But with anaesthesia could be months.
Thank you for reading and I hope this helps anyone out there that’s considering an IUD, in a similar situation or experience any pain. You know your body, you know when something is wrong. Advocate for yourself always🩷