<s>[INST] dear doctor , im using multiload since last 3-4 mnths.somewhere iv heard that these are harmful. i was feeling slight pain all d tym.cud u plz suggest me dat what should be used?is der any iinjection? [/INST] Hello;welcome to Chat Doctor Multiload is a IUD(intrauterine device) used for contraception and is available as Autoload 250(for 3 yrs of contraception) and Autoload 375(for 5 yrs). Normally it is one of the most preferred modes of contraception and is well tolerated but in few cases it may give rise to problems like-heavy periods where there is more bleeding than normal, but they may settle down and become normal in a couple of months.-there can be cramps like pain in uterus after insertion of multiload which may subside in a week and can be relieved by painkiller and if the pain persists you will have to consult your Gynecologist. Since you have been using the IUD for 3-4 months if the pain is daily and is bothering you please consult your doctor. Thanks </s>