Bleeding and spotting are common side effects after getting an IUD—especially during the first few months. Whether you have a hormonal IUD (like Mirena, Kyleena) or a copper IUD (like Paragard), here’s how to reduce and manage this side effect:
🩸 How to Avoid or Reduce IUD Bleeding & Spotting
1. Give It Time: Adjustment Period
Spotting and irregular bleeding are normal for the first 3–6 months.
Your body is adjusting, especially to hormonal changes or a foreign object in the uterus.
2. Track Your Bleeding Patterns
Use a period tracker to monitor:
How often you bleed
Flow intensity
Changes over time ✅ This helps you notice trends and provide accurate info to your doctor.
3. Use NSAIDs to Reduce Bleeding
Medications like ibuprofen (Advil) or naproxen (Aleve) can:
Decrease uterine inflammation
Reduce heavy bleeding and cramping
Use as directed, typically during bleeding episodes (but ask your doctor first).
4. Consider Hormonal Support (If Needed)
For persistent spotting, some doctors may prescribe:
Short-term birth control pills to regulate bleeding
Estrogen supplements (in low doses) ✅ These are often used temporarily while your body adapts to the IUD.
5. Avoid Inserting Anything Into the Vagina Initially
Skip tampons, menstrual cups, and sex for the first few days or weeks (as advised by your doctor) to prevent irritation and possible displacement.
6. Stay Hydrated and Maintain Hormonal Balance
Hormonal fluctuations affect bleeding. Maintain a healthy routine:
Balanced diet
Sleep
Stress management
7. Know the IUD Type & Expected Bleeding Patterns
IUD Type
Hormones?
Bleeding Pattern
Paragard (Copper)
No
Heavier/longer periods at first
Mirena/Kyleena/Liletta/Skyla
Yes (Levonorgestrel)
Irregular bleeding/spotting, often lighter or absent periods over time
8. Check IUD Placement if Bleeding Is Unusual
If spotting is sudden, heavy, or persistent after 6 months, ask your provider to check if the IUD has shifted.
Expulsion or malposition can cause irregular bleeding or cramping.
9. When to See a Doctor
Bleeding is soaking a pad every hour
Spotting continues after 6 months
You have severe pain or signs of infection (fever, discharge, odor)
