### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctors, This is a question for a gynae . I am 27 years old.I have never had chidren.I am obese .I am 5 1 and weight about 260 pounds.My BMI is over 50.I had a copper IUD inserted about 5 months ago because the nurse told me that I should used other contraceptives because they have hormones and they may cause weight gain .I am already struggling to lose weight so I can t afford to add any more weight.Since the insertion ,my periods are heavier and longer with painful cramps.However this month seems to be more severe.I work i a remote area with basic health facilities and can only go home to my doctor one every month or two months.What do I do?What painkillers do i take?Should I have it removed?

### output:

Hi, Thanks for the query. Intrauterine contraceptive devices can present with side effects like intermenstrual spotting, prolonged bleeding, pain abdomen etc. But after few months these symptoms will subside soon. And the woman will usually get accustomed to the device. For more details : http://www.indiastudychannel.com/resources/144770-Barrier-contraceptives-intra-uterine.aspxSo, possibly your symptoms may subside soon. If the bleeding persists, better to rule out other causes of hemorrhagic like uterine fibroid, endometrial abnormalities, hormonal imbalance, thyroid abnormalities etc. If the IUD is found to be the cause, with your doctors' advice you can take antispasmodics to decrease pain, anti - fibrinolytic Chat Doctor.  If needed for few weeks you can use additional dose of hormones to control bleeding. If the bleeding still persist better to change the method of contraception. Take care.