<s>[INST] Hi, I had a copper IUD fitted almost 6 weeks ago, on the first day of my period. No other medical conditions, medicaiotn, no hornomal contraceptives used for many many years. Noprmal full health, active lifestyle. One child, normal delivery, now aged 11. I have had a copper coil before but not for many years, and I do understand it takes some time to settle. My first period was longer heavier and more painful, and I have had a gap of two weeks without bleeding before it started again. I am now on to day 10 of an extremely heavy, extremely painful period, and the flow seems to be getting heavier and cramping worse, not better. What do you suggest? [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1. You are right in judging the response of newly fitted IUD. Certainly it will take time for your body to get adjusted to this new IUD.2. I will suggest use of Tablet MEFTAL SPAS 2 to 3 times a day during the menstrual period as needed to overcome pain and bleeding. If needed Tab PAUSE 500 mg can be added 2 to 3 times in a day. You should aim at blood loss that needs 2 sanitary napkins per day and there is no passage of clots.3. If you still have heavy periods, a course of antibiotic like Cap Doxypal 100 mg 2 times a day for 10 days is advisable. Also, Tab REGESTRONE 5 mg 2 times a day for 5 days from day 21 to 25 of the cycle will help reduce menstrual bleeding.Last but not the least , Please get IUD checked up from your doctor every 3 monthly.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam Neurgaonkar </s>