What causes irregular menstruation after IUD insertion?

Because of the family planning policy in our country, many women still have to go to the hospital for IUD insertion surgery. However, this type of surgery will affect women's normal menstruation, especially those women with poor physical fitness are more likely to have some problems. So many women want to know, if they experience irregular menstruation after the IUD is inserted, what is the best way to deal with it?

Menstrual disorders after IUD placement refer to changes in menstrual periods, such as early or late menstruation, excessive menstrual flow, prolonged menstruation, or lower abdominal pain, after an IUD is placed in the uterus of some women of childbearing age. The disease is more common in young and middle-aged women of childbearing age, and is secondary to the insertion of an IUD, especially after an abortion.

At present, among women of childbearing age in my country who take contraceptive measures, about 85% use intrauterine devices, and about 10%-15% experience heavy menstruation, prolonged menstruation, shortened menstrual cycle, or irregular vaginal bleeding after intrauterine contraceptive device insertion. The reason is that an inappropriately sized IUD may compress the endometrium and cause local tissue necrosis and inflammatory response. On the other hand, according to research, intrauterine devices can activate plasmin in the endometrial tissue, and this activated plasmin is not conducive to local coagulation function. Therefore, the enhanced activity of plasmin may be the reason for increased menstruation and irregular vaginal bleeding after the placement of the ring.

Clinically, the treatment of this disease is not complicated. First, after excluding various internal bleeding diseases and liver diseases, doctors can prescribe hemostatic and anti-inflammatory treatments, such as using vitamin C, vitamin K, Yunnan Baiyao and hemostatics to stop bleeding. At the same time, taking acetylspiramycin or metronidazole, cephalosporin and other anti-inflammatory drugs. If the treatment does not heal after about two months, you should consider removing the intrauterine device. In addition, it should be noted that a diagnostic curettage should be performed at the same time as the IUD is removed, so that all necrotic and inflamed endometrial tissue can be eliminated, achieving the purpose of rapid and complete hemostasis. At the same time, the scraped endometrium should be sent for pathological examination.

In fact, there will be no problem for normal women to undergo IUD insertion, unless there is a problem with the woman's own physical fitness or she has problems such as irregular menstruation. If there is any special physical condition, it is better to clarify the situation with the doctors first. In this way, the doctors may pay more attention to these problems during the operation.