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Hi Anon,

• Anemia
• Backache
• Bleeding between periods
• Cramps
• Inflammation of the vagina (vaginitis)
• Pain during sex
• Severe menstrual pain and heavy bleeding
• Vaginal discharge

Contact your health care provider immediately if you have:

• Signs or symptoms of pregnancy
• Unusually heavy vaginal bleeding
• Foul vaginal discharge
• Worsening pelvic pain
• Severe abdominal pain or tenderness
• Unexplained fever

It's also important to contact your health care provider immediately if you think your IUD is no longer in place. Call your doctor if:

• You have breakthrough bleeding or bleeding after sex
• Sex is painful for you or your partner
• The strings are missing or suddenly seem longer
• You feel part of the device at your cervix or in your vagina 

I hope this helps,

Rosa