Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. 1] Please note that, once you remove intrauterine device, it no more gives you contraceptive protection. 2] At the start .please get morning s first sample of urine tested for pregnancy if you have missed your periods. 3] Even if you are pregnant, you can opt for termination with medicines safely till 9 weeks of pregnancy. 4] If the test is negative your symptoms can be due to Premenstrual syndrome -PMS. 5]I will suggest indulging in a healthy diet and regular exercise regime. Include plenty of fruits, salads, vegetables in the diet. Have adequate water intake , say 8 – 10 glasses per day. Avoid deep fried foods, bakery products, and refined sugars.Avoid substance abuse, if any. 6] Also, I will suggest use of Vitamin E, B LONG F, PRIMOSA each one daily for 3 months. I hope my answer helps you. Thanks. Wish you great health. Dr Purushottam