PMS with iud and no periods

I’ve had my Kyleena IUD for about 8 months now and I’ve only gotten one period, but have what I think is PMS. There have been a three times that I get insanely bad cramps and nausea to the point where I puke, but it only lasts about 3 hours and then I’m totally fine. Not sure if this is normal and whether I should see a doctor or not.

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