- Recommend ibuprofen or other pain reliever
Severe or prolonged:
- Examine for partial expulsion, perforated uterus
- Remove IUD if severe cramping is unrelated to menses
or unacceptable to client
If mild cramping occurs only around the time of menses, the
IUD user should be advised to use a pain reliever such as ibuprofen.
If cramping is severe or continues after three months, it is
important to examine the client for other problems. Severe or
prolonged cramping may indicate a partially expelled IUD, a
perforated uterus, or PID. If cramping is unacceptable
to the client, the IUD should be removed.