<s>[INST] Hello I am tiff, I have gotten a iud recently around sep of this year, and i have been bleeding off and on since i have gotten it, its maybe 2 or 3 day bleeding then it stops for a few days. Recently i have been experiencing sharp pains in my vagina , they have become unbearable. Idk why this is happening, but what can i do to stop it? [/INST] Hi, It is mandatory that you get a checkup after your first period after the IUD insertion. Thereafter, you may check it up yourself. It is common for bleeding disturbances to occur initially and if the bleeding is heavy or continuous, you should consult your doctor. Also, severe pain needs immediate medical attention. So, see your doctor for a check up and further management. Good luck. </s>