Requirements and postoperative care for abortion and IUD insertion

It is medically possible to have an abortion and an IUD insertion at the same time, but certain requirements must be met. If the requirements are not met, the IUD cannot be inserted. It must be performed after the abortion operation. So what are the requirements for having an abortion and an IUD insertion at the same time? What kind of postoperative care does the patient need after the IUD is inserted? With these questions, let us understand the requirements and postoperative care for having an abortion and an IUD insertion at the same time. I hope that through my explanation, everyone can gain some understanding.

First, you have to go to a regular hospital, because such hospitals will make a comprehensive judgment based on the patient's actual hospital condition, and the surgical sterilization measures are good, and the chance of surgical infection is small.

Second, it depends on the gestational age at the time of surgery, because a smaller uterus will contract better after surgery and the insertion of an IUD will not cause bleeding; while a larger gestational age will cause the uterus to contract poorly after surgery and is prone to bleeding and infection.

Third, we need to see how the uterus contracts after the abortion. If the uterus contracts well, the IUD can be inserted. If the uterus contracts poorly, the IUD cannot be inserted, and we must take good measures to prevent infection after the operation.

If all three of the above conditions are met, it is possible to have a painless abortion and an IUD insertion at the same time. If not, the best time to have an IUD insertion is one month after the abortion, when normal menstruation resumes, and within 3-7 days after the menstruation is clean and there is no blood.

It is not suitable to have an IUD inserted immediately if:

1. Those who have poor uterine contraction, heavy bleeding, and repeated vaginal bleeding before the operation may have residual pregnancy tissue or infection;

2. Postoperative examination of the aspirate is suspicious, such as benign or malignant hydatidiform mole; severe cervical erosion or genital tumors;

3. Malformations of reproductive organs, such as double uterus, bicornuate uterus, etc.;

4. Patients with various serious systemic acute and chronic diseases, such as severe anemia, blood diseases and acute stages of various diseases, please follow the guidance of experts for specific circumstances.

Things to note after having the ring inserted:

1. Pay attention to hygiene and avoid infection: After the ring is placed, the vulva should be washed every day to keep it clean.

2. Get adequate rest and avoid heavy physical labor: Generally, you should rest for 1-2 days after the ring is placed. Do not do heavy physical labor within a week to avoid causing the ring to fall off and bleeding.

3. Regular check-ups: Generally, the first check-up after the placement of the ring is after the first menstruation, the second check-up is within 3-6 months after the placement of the ring, and the third check-up is 12 months after the placement of the ring, and then check-ups are conducted once a year.

4. Pay attention to vaginal bleeding and the shedding of the ring: If you find that your vaginal bleeding is heavy, more than twice the normal menstrual blood volume or the bleeding time is longer, and the changes in the menstrual cycle are obvious, you should go for a check-up in time. During the first 3 months, you should also pay attention to whether the ring falls off.

After having an abortion and an IUD inserted at the same time, the body is more susceptible to infection by bacteria. During this operation, you must pay attention to disinfection. Therefore, when choosing an abortion hospital, patients must choose a local regular hospital to prevent reinfection after the operation and become more susceptible to gynecological diseases. After abortion, patients need to undergo postoperative care to help their bodies recover.