Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have the copper iud for over 3 years now and had no problems untill recently I missed my period 2 weeks ago in turn I has very very light brown spotting/ discharge . Pain in left side goes from dull ache almost like cramp to very sore. Doctor sent medor smear which all came back clear. I have started spotting again and have slot if pain again. Please help. K
[|AI|]  Hi, In the current scenario, I would ask for a trans-vaginal sonogram along with a blood test for pregnancy to know the status. If pregnancy or any other pelvic pathology has been ruled out, you should test for blood profile as well as hormonal imbalances. Any weight changes, stress and medications are also possible causes for the irregular menstrual pattern. If the IUD is found to be causing it, it needs to be removed and an alternate contraceptive method planned. Hope this helps.