Conversation: The conversation between human and AI assistant.
[|Human|] I have had iud since March and have had fairly continuous spotting since insertion, in the last few months intercourse has become painful and the discharge is dark. I have seen a doctor and she said that the iud may be poking and irritating the lining of my uterus . That was almost two Months ago what are my options. And if I have it removed what is a reliable form of birth control that will be effective as soon as possible after removal.
[|AI|]  Hello! Thanks for your query. The most common side effect of IUD is spotting. Painful sex and dark discharge may be from the cervical or vaginal pathologies. You should do a PAP smear(if you do not have done within 1 year) or vaginal smear to exclude any infection. There are so many birth control methods after you remove IUD:barrier(condoms, diaphragms,cervical caps, contraceptive sponge)hormonal(IUD(IRENA), implants,injection, oral contraceptives)sterilization(male or female)Take care of your self