IUD Help

I am unsure where to post this and also unsure if I should have a TW for content if it makes people feel dysphoric. I just need advice and I am unsure if I go to another sub that focuses on this if I will get judged

I have been on T almost 3 years, in a committed relationship with my partner of 5 years and wanted an IUD to prevent pregnancy. I have had it for months at this point, I think almost 5 months and it is very on and off.

For the most part it is fine but every so often I get this crazy pain, it almost feels like severe period cramping. I don’t have a period anymore, it is just the closest thing. Weirdly enough the pain comes when I orgasm but sometimes it just appears, but there are times I can go days or weeks with no pain. I feel like maybe because I was pushing to have a bowel movement it affected it ( I know that’s TMI but I find anything where I clench my abdomen makes it worse)

Today is probably the worst it has been. I am sitting with a hearing pad on my stomach and back and seeing if the pain goes away, it feels like cramping in my lower abdomen and lower back.

I know I should probably see a doctor but I am wondering if anyone else has experienced this, I almost wonder if because of being on T if it makes it worse. I have no idea. Any advice or experience would be appreciated