How often should I change the T-shaped contraceptive ring?

Women of childbearing age worry about unwanted pregnancies, so they choose to use contraception. Common contraceptive methods include condoms, contraceptive rings, and birth control pills. The side effects of contraceptive rings are relatively small. The T-shaped contraceptive ring is a relatively simple and convenient contraceptive method, and it is widely used in daily life and can be trusted. So, how often should the T-shaped contraceptive ring be replaced?

1. Situations where IUD cannot be used

Severe systemic diseases, such as heart failure, severe anemia, bleeding diseases and the acute stages of various diseases.

Inflammation of the reproductive organs, contamination diseases such as vaginitis, severe cervical erosion, and acute and chronic pelvic inflammatory disease.

Frequent or excessive menstruation and irregular bleeding, etc.

The cervix is ​​too loose, there is severe old cervical laceration, and severe uterine prolapse.

2. Precautions after IUD insertion

Rest for two days after the IUD is inserted, avoid heavy physical labor within a week, and refrain from bathing and sexual intercourse within two weeks.

There may be a small amount of vaginal bleeding or mild back pain and abdominal distension in the first few days after the ring is placed, which will usually disappear naturally within a few days and do not require treatment. If there is heavy bleeding and abdominal pain, the cause should be identified and treated.

After the IUD is placed, a follow-up examination should be conducted after the next menstruation, and a pelvic fluoroscopy or B-ultrasound examination can also be performed. Check again after 3 months, and then once a year thereafter.

3. In what cases should the IUD be removed?

Those who have had the ring for more than 5 to 10 years and need to replace it with a new one.

Those with irregular vaginal bleeding or other symptoms that have not responded to treatment. If there is heavy vaginal bleeding or infection, the IUD should be removed promptly.

Those who wish to have another child.

One year after sterilization. Menopause six months

For the above, it is recommended to remove the IUD.

Those who have serious side effects and want to change their contraceptive method.

If a woman is pregnant with an IUD, it can be removed during abortion.

4. Side effects or complications after having the IUD

Some women may experience side effects or complications after having an IUD inserted.

(1) Bleeding

It is currently believed that the increased activity of fibrinolytic enzymes caused by the IUD is the main cause of bleeding, and the use of 6-aminoacetic acid can reduce bleeding. A small amount of irregular vaginal bleeding usually does not require treatment; if the bleeding is heavy, medication can be used to stop the bleeding. If the treatment is ineffective, the ring can be removed. If the bleeding persists for a long time, anti-infection treatment is required.

(2) Backache and abdominal distension

It may be caused by the IUD being too large or positioned too low, causing uterine contractions. You can try antispasmodics first. If they are ineffective, you can choose a new ring.

(3) Infection

In a few cases, ascending infection may occur due to lax disinfection or aseptic operation. After it happens, the ring should be removed first, and then appropriate treatment should be taken.

(4) IUD incarceration

Individual developmental organs may be embedded within the uterine muscle wall. If the insertion is shallow, it can still be pulled out with the ring hook; if the insertion is deep, the cervix must be dilated to size 6-7 first, then the ring must be brought to the cervical opening, and the ring wire must be straightened, cut and pulled out with two hemostatic forceps. The operation should be slow and gentle. If necessary, the hook can be removed under the guidance of B-ultrasound to reduce the blindness of the operation. If the ring is deeply embedded or has even penetrated the uterine wall into the pelvic cavity, it should be removed by laparotomy or laparoscopy.

(5) IUD falls out

It often happens within the first year of wearing the IUD, especially when it falls off during the first three months of menstruation. The natural shedding of the IUD is related to the ring being too large or too small, not being placed at the bottom of the uterine cavity, poor quality of manufacturing materials, insufficient support, loose cervix of the recipient, excessive labor intensity or heavy menstruation. Therefore, follow-up observation should be paid attention to in the first year after IUD insertion.

(6) Pregnancy with IUD

Pregnancy with an IUD may be caused by improper selection or placement of the IUD. In this case, abortion should be performed and a new IUD should be selected.