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Some of these common side effects may include: Headaches Pelvic pain (if ongoing, it could be a sign of IUD perforation) Back pain or tailbone pain Long, heavy periods after its first inserted for some women Irregular bleeding and spotting Loss of period (amenorrhea) for others Vaginal microbiome disruption which causes yeast infections and bacterial vaginosis Breast tenderness Depression or a depressed mood Stomach problems like bloating, gas, diarrhea and constipation Weight gain (sometimes severe) Ovulation disruption which reduces your sex hormones estradiol and progesterone

Projection of tobacco production, consumption and trade for the year 2010