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Mild:
- Recommend ibuprofen or other pain reliever
Severe or prolonged:
- Examine for partial expulsion, perforated uterus
or PID
- Remove IUD if severe cramping is unrelated to menses
or unacceptable to client
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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.
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