Why don't I have my period after the IUD was removed?

Now that the second child policy has been relaxed, women need to remove their IUDs, but we have also discovered that there will be some changes in women’s bodies after removing the IUDs, especially their normal menstrual periods will also be affected, which makes women feel at a loss. What should I do if I don’t have my period after removing the IUD? How to avoid menstruation after the IUD is removed?

What to do if you don't have your period after taking out the IUD?

Generally speaking, there are two reasons for not having menstruation after removing the IUD: one is caused by an imbalance of neuroendocrine function, mainly due to unstable or defective function of the hypothalamic-pituitary-uterine-ovarian axis, that is, menstrual disorder. Organic diseases or drugs may cause the absence of menstruation after the IUD is removed, including inflammation of the reproductive organs, tumors, growth and development abnormalities, malnutrition, brain diseases, and other endocrine imbalances, which may affect pregnancy. It is recommended to go to a professional gynecologist for a physical examination and take medication under the guidance of a doctor.

In general, theoretically, removing an IUD does not affect the menstrual cycle. But after all, the extracellular fluid of the uterus has changed, and there are still individual differences. Many female friends have early or delayed menstruation after removing the IUD. Irregular menstruation after removing the IUD is normal. You can observe for another menstrual period and it may get better.

You should rest adequately within 2 weeks after removing the IUD, avoid strenuous activities, and eat nutritious foods. In addition, attention should be paid to the cleanliness of the vulva. Sitting baths and sexual intercourse are prohibited within 2 weeks. If vaginal bleeding exceeds menstrual volume after surgery, or bleeding continues after about half a month, or abdominal pain is severe, please check again immediately to prevent menstrual disorders caused by infection after surgery.

Common problems after removing the IUD

Some women experience breakthrough bleeding or spotting in the first month after the IUD is in place, and sometimes this occurs again in the following months. Some women may experience prolonged menstruation and menorrhagia, especially in the first 1 to 3 menstrual cycles. These are all normal conditions and do not require special treatment. They can be gradually repaired in the future. If the bleeding lasts too long, you can take antibiotics appropriately to prevent infection, and go to the hospital for medical treatment if necessary.

You need to rest for 2 days after the IUD insertion surgery and 1 day after the IUD removal surgery. It is not suitable to do too much physical work within 1 week after the placement of the ring, especially squatting labor, to avoid increased bleeding or the ring falling off.

If some women have entered menopause, have irregular menstruation or have already gone through menopause, they should remove the IUD, preferably within one year after menopause. When the IUD is removed after menopause for more than one year, due to ovarian decline, low estrogen levels, shrinkage of the vaginal mucosa, and gradual shrinkage of the uterus, the difficulty and risk of surgery will be increased.

After the IUD is placed, check the IUD once after the first menstrual period and again three months later. After that, you need to have the IUD inserted once a year and have a gynecological examination once a year to determine whether the IUD has fallen off.