After removing the IUD, the environment of the uterine cavity will change and the uterine lining will shed irregularly, so there may be a small amount of vaginal bleeding accompanied by slight discomfort in the lower abdomen, which is a normal phenomenon. It is normal to have a small amount of vaginal bleeding with slight discomfort in the lower abdomen. It is also possible that the uterine lining may have been damaged during the operation, resulting in bleeding. If the bleeding increases or the abdominal pain worsens, you should go to the gynecologist immediately to confirm the diagnosis and treat the cause, and the main causes are cervicitis, uterine perforation, cervical cancer and so on. Common causes and treatment 1, cervicitis: can be manifested as vaginal contact bleeding, cervicitis usually no typical symptoms do not need treatment, such as suspected infection, need to carry out timely anti-infection treatment; 2, uterine perforation: often have the symptoms of lower abdominal pain and bleeding after intrauterine surgery, should be carried out routine blood, abdominal X-ray and laparoscopy to confirm the diagnosis, drug treatment can be prescribed to use contraction agent, hemostatic agent and antibiotics, such as misoprostol, antibiotics and other antibiotics. If there is a large perforation or obvious internal bleeding, surgery should be performed to close the perforation and hysterectomy; 3. Cervical cancer: there is abnormal vaginal bleeding, accompanied by the symptom of foul smell, cervical cytology, HPV and serum tumor markers should be done to confirm the diagnosis, and chemotherapeutic drugs such as cisplatin and targeted agents such as bevacizumab can be chosen as prescribed by doctors, and surgical treatment, such as cervical conization, can be chosen. Surgical treatment, such as cervical conization, total hysterectomy and so on. Precautions After removing the IUD, keep the vagina clean and hygienic, wash the pubic area with warm water every day, and don’t catch cold. Prohibit sexual intercourse within two weeks, avoid sitz bath and basin bath, in order to prevent infection and inflammation. Pay attention to nutrition, eat more iron-containing foods, such as brown sugar, cinnamon, red dates, black beans, etc., to prevent anemia caused by excessive menstrual blood. Ensure sufficient rest, try not to stay up late.