Conversation: The conversation between human and AI assistant.
[|Human|] I have had the paragard since 2009.  Lately, I have been getting where I bleed everyday.  I first noticed it last month.  This month I had my period the week before last, 7 days as normal.  Then a little bit of spotting all last week.  Today my period started again.  Is this something I should be concerned with?  I do not understand why I keep having spotting and periods.  Thank you for your time.  Cheryl Bowley
[|AI|]  Heavy or frequent bleeding can be a side effect of the para guard, though most women don't have the problem.  You have several options, and you will really need to speak with doctor about your options.  First, you will need to make sure there is no other problem causing the bleeding, such as a fibroid, a polyp, or an infection.  If it is determined by your doctor that the para guard is the likely culprit, you can choose to remove it and try another form of birth control, such as pills or even the IRENA IUD (which usually controls the bleeding much better), or you can choose to try some pills with the para guard in place just to control the bleeding for a few months, and then stop and see if the bleeding returns.  You should discuss all of this with your doctor and decide what is right for you.  I hope this answers your question.  Please let me know if you have any more questions.