What are the problems associated with the IUD? Abnormal menstruation This is the most common “minor” problem. If you think about it, it’s understandable that you’ll feel uncomfortable for a short period of time when a foreign object is placed inside your uterus. What causes menstruation to change? The IUD may affect the lining of the uterus, changing the environment of the uterine cavity and affecting menstruation. 2.The contraceptive ring that releases progesterone affects the hemostatic function due to the addition of foreign progesterone. 3.If the size and shape of the contraceptive ring is not suitable, or the position is abnormal, it may also lead to bleeding. Seeing this, some friends may want to ask, didn’t the doctor measure the size of the uterus? Why is there still an inappropriate situation? How to measure the size of the uterus: The doctor probes into the uterine cavity with a graduated probe and measures the depth of the uterine cavity as the size of the uterus. There is no way to measure the width of the uterine cavity. This is a rough measurement. Of course, the IUD chosen according to the depth is still appropriate in most cases. I believe with the development of science, it can be done to measure the shape of the uterus accurately, such as the hot 3D printing technology, let’s look forward to it! Abnormal menstruation manifests itself in the form of increased menstrual flow, prolonged bleeding or even complete loss of regularity. If the bleeding is light, oral medication can be taken to stop bleeding, such as tranexamic acid, hemostatic minerals, Yunnan Baiyao, etc. The time and dosage of the medication should be consulted with the doctor. If the bleeding is heavy and still not improved after medication, or even lead to anemia, it is recommended to remove the contraceptive ring as soon as possible after correcting the anemia. The duration of medication is usually 6 months. If the bleeding does not improve, it is recommended to remove the IUD. Pain According to the time of occurrence of pain is divided into 4 kinds of situations: I. Early pain Pain that occurs within 10 days after the IUD is placed is mostly caused by the stimulation of the uterus by the IUD, and generally does not need special treatment. Women who are nervous and sensitive to pain are especially prone to pain. Delayed pain If the pain persists for more than 10 days and still does not go away, consider that the IUD is not compatible with the uterus. It is recommended to try medication, if the effect is not satisfactory, you can consider removing it. Third, late pain refers to the early pain and delayed pain disappeared for more than 4 weeks, reappearance of pain. This kind of pain must actively search for the cause. 1, intrauterine infection. Antibiotic treatment will improve 2, contraceptive ring deformation, downward displacement, ectopic A chubby rural woman, with a painful expression into the clinic. Just sat down and pulled out a thick stack of prescriptions from her bulging backpack. Accompanied by a long sigh, she recounted the painful experience of 2 months: the last 2 months, inexplicable stomach pain, has been crashing pain, eating and sleeping can be, is not able to do heavy work. See a few doctors, said it was “adnexitis”, Chinese and Western medicine ate a whole bunch of bottles of infusion are lined up, the pain is not light. Local doctors really have no way out, before recommending her to the big hospital. In the outpatient clinic, the doctor did a gynecological examination, found that the original is the contraceptive ring downward stuck in the cervix caused by the pain. This shows how important it is to check your IUD on time! By the way, the doctor will say how to check the contraceptive ring: gynecological vaginal examination: found that the tail filament is obviously prolonged to consider the contraceptive ring shifted ultrasound: measure the distance of the contraceptive ring from the bottom of the uterus, more than 2 cm can be diagnosed as the contraceptive ring shifted Pelvic X-ray: most of the auxiliary inspection methods, to understand the contraceptive ring there is no deformation, ectopic and so on When it comes to the treatment, there is no good way, once it is clear that the deformation of the contraceptive ring, shift, ectopic, must be taken out! Once it is clear that the IUD is deformed, displaced or ectopic, it must be removed. 3, with the ring ectopic pregnancy may lead to lower abdominal pain Although the effect of the contraceptive ring is relatively satisfactory, but there are still a very small number of failures, and a very small number of them are ectopic pregnancy with the ring. Ectopic pregnancy must be diagnosed and treated in time to avoid the risk of rupture and abdominal hemorrhage. Therefore, usually regular menstruation friends, whether with or without the ring, once the period is no longer regular, not only to be concerned about “is not pregnant”, but also to be concerned about “is intrauterine pregnancy or ectopic pregnancy”. We should have this common sense. Fourth, sexual intercourse pain Contraceptive ring tail wire improper position or hard texture can lead to sexual pain. Generally speaking, the doctor will keep 2 centimeters of the tail wire during the operation, and put it coiled up, the end of which will be placed in the vaginal vault, so that you will not have any feeling during sex. A patient, she likes to clean the deep part of the vagina with her fingers when she cleans the vulva (which is a bad habit). As a result, when having sex once, the husband suddenly felt like he was stabbed by something, the couple was terrified, and could not care less that it was the middle of the night, rushed to the emergency department of the hospital …… It turned out to be the contraceptive ring tail wire was touched by her out! The doctor helped her to re-curl the tail wire, and told her that the vagina has a “self-cleaning effect”, do not need to wash the inside of the vagina every day. See, the little wire had caused so much trouble!