What should I do if I have irregular menstruation after IUD removal?

What should I do if I have irregular menstruation after IUD removal?

Removal of the IUD refers to the removal of the contraceptive device in the uterus. After the IUD is removed, irregular menstruation may be caused by endocrine disorders, endometrial damage, and cervical stenosis. Medication or surgery can be performed according to the doctor's advice.

1. Endocrine disorders:

Due to the pressure of work and life, endocrine disorders may occur, leading to abnormal menstruation. The six-item test of sex hormones can be performed on the second or third day of menstruation. According to the test results, oral estradiol valerate tablets, progesterone capsules and drospirenone ethinyl estradiol tablets can be taken for treatment according to the doctor's advice.

2. Endometrial damage:

Due to the damage of the basal layer of the endometrium when the IUD is incarcerated or removed, and incomplete intrauterine adhesions, menstrual volume can be significantly reduced, or even dysmenorrhea can occur. You can take estradiol valerate tablets, ethinyl estradiol cyproterone acetate tablets, and dydrogesterone acetate tablets orally according to the doctor's advice. They can promote the growth of the endometrium and restore normal menstruation.

3. Cervical stenosis:

If the local mucosa of the cervix is ​​damaged, resulting in incomplete cervical adhesion, it may lead to cervical stenosis, menstrual blood cannot be discharged smoothly, and severe patients may experience dysmenorrhea. Usually 3-7 days after menstruation, local cervical dilation can be performed under the guidance of a doctor to restore the narrow cervical canal to normal.

In addition to the above reasons, the above symptoms may also occur due to decreased ovarian function. It is recommended that patients keep their private parts clean after removing the IUD, clean their private parts every night, and change their underwear frequently. Avoid sexual intercourse, swimming, or hot spring bathing within two weeks after removing the IUD.