am 29 years old, have 2 children (natural birth), I have had an IUD for 10 months now. Sometimes I have brown discharge lasting about 2 days after sex, this phenomenon does not happen often. When having strong sex, I often have pain in the lower left abdomen, I have had cervical examination and ultrasound several times at a private clinic but nothing was detected. Menstruation is irregular, each period lasts 5-7 days, the amount of blood is small, I have never had menstrual cramps. Recently, I often have lower back pain, sometimes the pain is so bad that I cannot stand up and walk. This month, I have menorrhagia, for about the first week I only have reddish brown discharge, then I have had thick and dark blood for 13 days but it has not stopped, the amount of blood is not much. Doctor, can you tell me if this phenomenon of mine is something to worry about?

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