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What Causes Severe Abdominal Pain And Heavy Vaginal Bleeding After Essure Coil Insertion?

Posted on Tue, 9 Feb 2016

Question: Can you see if Essure coils are correctly placed in the fallopian tubes by looking at CAT scan imaging? I recently had a CAT scan done for kidney stones. In my layman's view, my coils don't appear to be in my fallopian tubes. I have been complaining of very heavy abnormal bleeding in between periods and abdominal pain. I had the HSG done 3 months after the Essure was inserted that indicated my tubes were blocked but the heavy bleeding and pain has been persistent. I had an endometrial biopsy done that was negative for any abnormalities. I had an MRI done that was negative for adenomyosis.

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Coils are rightly placed in fallopian tubes in both sides.

Detailed Answer:
Hello
Thanks for writing to HCM

I have gone through all images in detail.Coils are rightly placed in fallopian tubes in both sides and it is not displaced at all.

As no pathology is detected for abnormal bleeding,it is important to rule out DUB(dysfunctional uterine bleeding).You may need hormonal preparation like progestins etc.
You may need proper evaluation by a gynecologist.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (44 hours later)

Can you tell if the coils have perforated the fallopian tubes or the uterus at all? I had my hormone levels checked as well and my levels are fine. I've never had dysfunctional bleeding ever in my life until after I was implanted with Essure. I have gone for very long stretches in the course of my life without taking any hormonal birth control and I've never had pain and bleeding like this.

Answered by Dr. Indu Kumar (15 hours later)

Brief Answer:
Coils are rightly placed.

Detailed Answer:
Hello
Thanks for writing to HCM
Sorry for replying late

Coils are rightly placed and it has not perforated fallopian tubes or uterus.
Bleeding is one the initial side effect and generally resolve within 3-6 months.
You may need to wait for some more time.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Indu Kumar (4 hours later)

I was implanted in 2012.

Answered by Dr. Indu Kumar (17 hours later)

Brief Answer:
If it is implanted in 2012 then it shouldn't be the cause of bleeding.

Detailed Answer:
Hello
Thanks for writing to HCM
Sorry for replying late

If it is implanted in 2012 then it shouldn't be the cause of bleeding.
It may be due to some other factors like DUB.You need proper evaluation.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar